We provide ongoing care and support for patients living with chronic (long-term) health conditions. Our aim is to help you manage your condition effectively, maintain your quality of life, and reduce the risk of complications.
Long-term conditions usually require regular monitoring, reviews, and partnership working between you and the healthcare team.
Conditions We Commonly Support
We offer structured care for a wide range of long-term conditions, including:
- Asthma
- Chronic Obstructive Pulmonary Disease (COPD)
- Diabetes (Type 1 and Type 2)
- High blood pressure (hypertension)
- Heart disease
- Stroke and TIA follow-up
- Chronic kidney disease
- Thyroid disorders
- Epilepsy
- Arthritis and musculoskeletal conditions
If your condition is not listed, please contact the practice to discuss the support available.
Regular Reviews and Monitoring
Patients with long-term conditions are invited for regular reviews, which may include:
- Blood tests and other investigations
- Blood pressure, weight, and lifestyle checks
- Medication reviews
- Symptom assessment and care planning
- Preventative care and health advice
Reviews may be carried out by a GP, practice nurse, healthcare assistant, or pharmacist, depending on your needs.
Why Regular Reviews Are Important
Regular monitoring helps to:
- Keep your condition well controlled
- Adjust treatment when needed
- Identify problems early
- Reduce the risk of complications
- Support self-management and wellbeing
Attending your scheduled appointments plays an important role in managing your health.
Personalised Care and Self-Management
We work with you to create a personalised care plan that reflects your goals, preferences, and lifestyle. This may include:
- Advice on diet, exercise, and smoking cessation
- Support with medication use
- Referral to community services or specialist care
- Education to help you manage your condition confidently
Vaccinations and Preventative Care
Many patients with long-term conditions are eligible for additional vaccinations, such as:
- Annual flu vaccination
- COVID-19 vaccination
- Pneumococcal vaccination
These help reduce the risk of serious illness. Our team will advise you on what is recommended for your condition.
Missed Appointments and Non-Attendance
If you are unable to attend a long-term condition review, please let us know as soon as possible so we can rearrange your appointment. Regular follow-up is important for safe and effective care.
Booking an Appointment
To book or rearrange a long-term condition review:
- Contact the practice by phone, online or visit us when we are open
- Respond to appointment invitations sent by the practice
If you have new or worsening symptoms, please contact us promptly for advice.
