Chronic Disease Management
Ongoing care and monitoring for diabetes, asthma, high blood pressure, and other long-term conditions. Regular reviews to keep you well.
Living with a chronic condition requires ongoing support. Our structured care programmes help you manage your health effectively, with regular reviews and access to our team when you need us.
Conditions we manage
Diabetes
- Regular blood glucose monitoring
- HbA1c testing
- Foot checks and eye screening referrals
- Diet and lifestyle advice
- Medication reviews
Asthma and COPD
- Regular reviews and action plans
- Inhaler technique checks
- Lung function tests
- Smoking cessation support
- Flu and pneumonia vaccines
High blood pressure
- Regular monitoring
- Medication management
- Lifestyle advice for blood pressure control
- Cardiovascular risk assessment
Heart disease
- Post-event monitoring and support
- Medication reviews
- Cardiac rehabilitation referrals
- Lifestyle guidance
Other conditions
- Thyroid disorders
- Arthritis
- Osteoporosis
- Epilepsy
How our programmes work
Patients with chronic conditions are invited for regular reviews, typically every three to six months depending on the condition. These appointments allow us to monitor your health, adjust treatment if needed, and catch any issues early.
Book your review online or call the practice.