Long Term Conditions Management
All conditions such as diabetes, pre-diabetes, heart disease, heart failure, asthma, COPD, raised blood pressure and chronic kidney disease all need regular reviews.
Some conditions require you to be seen every six months, some annually and some diseases like Rheumatoid Arthritis just need regular blood tests.
We ask all patients to contact us and have their review during the month of their birth, please do not wait for us to remind you. Not attending your annual review could delay you receiving your regular medication as the GP has to have the results of the review before they can reauthorise any tablets for another 6 months/year.
Please see how we manage our Long Term Conditions by clicking the links below.
AF (Atrial Fibrillation)
Who will I see?
Georgina will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review in the month of your birthday.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurses will check your symptoms, take your blood pressure, check your urine, take a blood test, record your height and weight and ask about your lifestyle and medications.
For more information about Atrial Fibrillation click here.
Asthma
Who will I see?
Caroline will see patients under 18 years of Age and Megan will see all our other patients.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review in the month of your birthday.
Will I need to have blood tests?
No blood tests will be taken unless you have another long term condition.
Do I need to bring a urine sample for the nurse?
No sample is required unless you have another long term condition.
What other tests will be carried out by the nurse and what else will they check?
The nurses will check your symptoms and asthma control, check your medication and adjust any inhalers if required.
For more information about Asthma click here.
Blood Pressure
Who will I see?
Georgina or Claire will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review during the month of your birthday and we would like you to take your blood pressure every six months.
You can use the blood pressure machine in the foyer and hand the results to the team or use your home BP monitor and send your results in either via our ‘Contact Us’ page or drop them into reception.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes, please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurse will check your symptoms, take your blood pressure, take a blood test, check your urine, record your height and weight and ask about your lifestyle and medications.
Fore more information about high blood pressure click here.
Coronary Heart Disease
Who will I see?
Sarah will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review during the month of your birthday.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes, please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurse will check your symptoms, take your blood pressure, take blood tests, check your urine, record your height and weight and ask about your lifestyle and medications.
For more information about coronary heart disease click here.
Chronic Kidney Disease
Who will I see?
Georgina or Claire will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for every six months.
Some patients with more severe chronic kidney disease may need to be seen more often and will require blood tests every 3 months but we will contact these patients separately.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes, please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurse will check your symptoms, take your blood pressure, take a blood test, check your urine, record your height and weight and ask about your lifestyle and medications.
Fore more information about chronic kidney disease click here.
COPD (Chronic obstructive pulmonary disease)
Who will I see?
Caroline will see you for your annual review.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review in the month of your birthday.
Will I need to have blood tests?
No blood tests will be taken unless you have another long term condition.
Do I need to bring a urine sample for the nurse?
No sample is required unless you have another long term condition.
What other tests will be carried out by the nurse and what else will they check?
Caroline will monitor and protect your lung function, adjust regular medications and agree a self-management plan to reduce the risk of infections.
For more information about COPD click here.
Diabetes
Who will I see?
Claire initially for your annual foot check and blood tests, she will book your follow up appointment with Sarah, Caroline or Megan.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review in the month of your birthday and then in six months’ time we need just to take a HbA1c blood test.
Will I need to have blood tests?
Yes, every six months we need a HbA1c blood test.
Do I need to bring a urine sample for the nurse?
Yes please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
Claire will carry out your initial appointment and take your blood pressure, check your urine, take a blood test, height, weight, foot examination and lifestyle questions.
She will book your follow-up appointment with one of the Practice Nurses and they will review your blood test result and your medication.
For more information about diabetes click here.
Heart Failure
Who will I see?
Sarah will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for you every six months including your annual review.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurse will check your symptoms, take your blood pressure, take a blood test, check your urine, record your height and weight and ask about your lifestyle and medications.
Fore more information about heart failure click here.
Pre-Diabetes (Non-diabetic hyperglycaemia)
Who will I see?
Georgina or Claire will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review during the month of your birthday.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes, please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurse will check your symptoms, take your blood pressure, take a blood test, check your urine, record your height and weight and ask about your lifestyle and medications.
For more information about pre-diabetes click here.
Stroke/TIA (Transient ischemic attack)
Who will I see?
Sarah will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review in the month of your birthday.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurse will check your symptoms, take your blood pressure, check your urine, take a blood test, record your height and weight and ask about your lifestyle and medications.
For more information about a stroke or a TIA please click here.
Conditions only requiring Blood Tests (PSA/Thyroid condition/Certain Medication)
Who will I see?
Georgina, Claire or Maya will see our patients.
When will I see the nurse and how often do I need to come?
We need to see you for your annual review in the month of your birthday, however some prostate conditions may require more regular blood tests.
Medication such as Disease-modifying anti-rheumatic drugs (DMARDs) are a class of drugs used to treat rheumatoid arthritis and other conditions by slowing the progression of disease and reducing symptoms. Patient taking these types of medication need blood tests every 12 weeks.
Will I need to have blood tests?
Yes, we will need to take a blood test.
Do I need to bring a urine sample for the nurse?
Yes, please bring a sample in a suitable container available from reception.
What other tests will be carried out by the nurse and what else will they check?
The nurse will check your symptoms, take your blood pressure, take a blood test, check your urine, record your height and weight and ask about your lifestyle and medications.
For more information on the above conditions click the relevant links below.