West London Clinical Commissioning Group (WLCCG) is your local NHS body responsible for commissioning hospital and clinical services.
We would like to hear about any recent experiences, both good and poor, you have had as a patient.
This could be in a hospital, a health clinic, A&E Department or even treatment at your home and relates to any services that you have been referred to by your GP.
We are not intending to collect information about GP practices, so if you have a comment about the practice, you should speak directly to a member of the practice team.
WLCCG will use the information we collect to improve services for patients.
When completed, please hand in the form in at your surgery reception,
alternatively please post the completed form to your surgery.