PPA -> Stakeholder Forum

Get involved with the PPA

"We want to enable you to
help us make our services to
the NHS better".

We would like to take this opportunity to invite you to join our new stakeholder forums.

At the PPA, we recognise the need to continually strive towards improvement in our existing products and services; as well as the need to plan and develop new services that respond to the needs of stakeholders.

Regardless of whether you use our services on a regular basis or not we would like to hear from you.

If you are a prescriber, pharmacist or member of the public we value your input.

Please help us by registering your interest in participating in a forum looking at prescribing, dispensing or patient service.

For further information register below.

We are compiling a database of people who are willing to help us. To make sure what we do meets the needs of our stakeholders; we would like to know about your skills, experience and areas of interest.

Your involvement could include anything from completing an occasional survey to getting involved in the user acceptance testing of a new information service.

We want to enable you to help us make our services to the NHS better.

Please do contact us with any queries.

Call Planning & Corporate Affairs on
0191 203 5851 or email

Please complete the following form if you wish to participate.

Information submitted via this form will only be made available to the Prescription Pricing Authority for internal business use. With your consent this information will be used to provide contact details and to help us to identify any particular area of interest that you may have.

Orange fields are mandatory - Please complete all mandatory fields. (also marked with a * for older browsers)

PERSONAL INFORMATION

Title	*
First Name	*
Last Name	*
Job Title
Company/Organisation
Department
Address	*

Town/City	*
Postal Code	*
Telephone	*
Fax
Mobile
Email

STAKEHOLDER

Please complete any of the following sections that you believe are relevant or else leave them blank. In each section, tick all categories that you feel apply to you.

1 In what capacity are you most interested in our work? (You may tick more than one)

		Prescriber
		Member of a patient group (e.g. Diabetes UK)
		Information provider
		Provider of health or social care
		User of health services
		Dispensing contractor
		Advising on prescribing or dispensing
		Provider of support
		Interested member of the public
		Carer
		Other (please specify)

2 Organisation Type

		None, individual
		Voluntary sector
		Public sector
		Private sector
		Professional body
		Self-help/community group
		Other (please specify)