Services for on-going management of long-term conditions

  • Diabetic clinic every two weeks, with a GP and nurse specialising in diabetes, and a dietician 
  • Weekly nurse-led Asthma/COPD clinics
  • Annual mental health reviews and care plans for all patients with a current condition
  • Annual review for patients with hypertension
  • Annual medication reviews for all patients on long-term repeat medication
  • On-going review, monitoring and care plans for patients with heart disease, kidney disease,  epilepsy, dementia, hypothyroidism, cancer and history of stroke/TIA.