Patients who suffer from one or more of the following chronic diseases need regular reviews at least annually:
- Chronic Obstructive Pulmonary Disease (COPD)
- Hypertension (High Blood Pressure)
- Vascular diseases:
- Atrial Fibrillation
- Coronary Heart disease
- Cardiovascular disease
- Heart Failure
- Peripheral Arterial Disease
Patients are contacted by either text, letter or phone call to invite them for a review and are invited during their birth month.
Different diseases require differing reviews but generally see below for detail about what you need to book for your review.
Asthma – NHS Guide to Asthma
COPD – NHS Guide to COPD
If you have one or both of the respiratory diseases (Asthma or COPD) but none of the other chronic diseases detailed above you will be invited to make a 15 minute appointment with either one of our nurses who has a specialism in asthma and/or COPD or invited to one of our specialist Asthma or COPD clinics. It would be really helpful if you could bring your inhalers with you so the nurse can check your technique when using the inhalers and help with any queries.
If, however, you have a respiratory disease and also one of the other chronic diseases you will also need a blood test – see below for the individual chronic disease invitations and what they will involve.
You may have any combination of any of the chronic diseases – see below for more information on what is involved for a review.
Hypertension relates to high blood pressure. See NHS for guide to hypertension and remember that ‘normal’ may mean different blood pressure recordings for individuals. Other factors such as other medical conditions and medication being taken will have an effect.
Vascular diseases relate to the circulation of blood around the body and the build up of fatty deposits in arteries. Follow the below links for more information on each disease.
For an annual review you will need a 15 minute appointment with a Health Care Assistant in the morning during surgery opening hours who will take a sample of blood and also record your blood pressure and discuss how things are with you. The Health Care Assistant will then advise if you need to make a follow up appointment with a nurse or a doctor or may advise you simply to ring up for your blood test results in about a week’s time.
Type 1 – NHS Guide to Type 1 Diabetes
Type 2 – NHS Guide to Type 2 Diabetes
For both Type 1 or Type 2 diabetes annual review you will need a 15 min appointment with one of our Health Care Assistants in the morning during surgery opening hours who will take a sample of blood and also take recordings of your blood pressure, height and weight (to calculate your BMI). It would be helpful if you can bring a urine specimen with your for the nurse to check ketones.
Once the Health Care Assistant has finished this initial review she will advise what the next step will be. Often this will mean booking a 15-30 minute review with one of our Practice Nurses who specialise in Diabetes. They will go through your blood test results, review dietary requirements, discuss any queries and also perform a check of your feet. Why is a foot check important? Check out Diabetes UK information on having a foot check during your review.
It is important that you attend for your routine annual review – even if you feel you are managing your disease and have no issues.
Some patients may be invited more often than annually – this is for the doctors and nurses to check how you are controlling your disease and offer advice, guidance and also increase or change your medication in order to help you better manage the disease. You do not have to wait until you are invited for an annual review – if you have any queries or concerns you can contact Reception and book an appointment with a nurse who will be able to help you. Please note however that you cannot book a blood test without having seen the nurse or doctor first.
If you are booking an appointment online – please book with our Health Care Assistants according to the information for each disease above. If you have more than one chronic disease book a 15 minute morning appointment with our Health Care Assistant in the first place.
If you do not respond to your initial invite – you may be contacted again. If there is still no response from you we will assume that you do not wish to have a review this year but we are duty bound to invite you for a review the next year.
If you wish to decline a review this year you will be offered a telephone appointment with one of our nurses to confirm that you understand the importance of an annual review and the consequences if you do not attend for regular reviews.
If you have not been diagnosed with any of the above but feel you have symptoms please book an appointment with your GP.