LONG TERM CONDITIONS (LTC) ANNUAL REVIEWS

What we do

As your GP surgery we play a significant role in managing your long-term condition. We believe in working with you and specialists in the community to provide personal and high-quality care.

Long term conditions or chronic diseases are conditions for which there is currently no cure, and that are managed with drugs and other treatments.

All patients with a long-term condition should have an annual review (or ‘health MOT’). Reviewing your condition on an annual basis will enable you to check that you are taking the correct medications. Some of these conditions require monitoring with blood tests or other tests such as breathing assessments.

What will happen?

A member of the Reception Team will contact your around your birth month to invite you to attend your annual review.

The first part of this is with a Healthcare Assistant. At this appointment we will take a blood sample, check your blood pressure, height, weight and update other health data. 

They will also perform a foot & leg check (if diabetic) and discuss your eating regime and lifestyle.

A follow-up telephone call with a LTC Specialist Nurse will be booked for you, at a later date. 

Prior to the telephone call you will receive the results from your 1st appointment so you have time to look over them.

During your telephone call, the LTC Specialist Nurse will review your results, look at your medical history and medications, and consider how together we could improve your health/management of your LTC. This may include health advice, medication changes or referrals to a community service. The LTC Specialist Nurse will also answer any questions you may have. By taking responsibility for your medical condition you can help ensure that you are having the best possible care.

Should the LTC Specialist Nurse feel the need to see you in clinic to help you further managine your condition, an appointment will be booked for you.

For those with Asthma or COPD, a questionnaire will be posted or texted out to you. Once we receive the completed form, a telephone review appoitment will be made with a Respiratory Specialist Nurse to discuss the results of the questionaire and guidance on how to manage your condition. Should the Respiratory Specialist Nurse feel the need to see you in clinic to help you further managine your condition, an appointment will be booked for you.

This review process is important. Your cooperation in this process will therefore be very much appreciated. We hope that this process will reduce the number of times you need to come to the surgery.