Chronic Disease Annual Review

CHRONIC DISEASE ANNUAL REVIEW

Each year we invite a large percentage of our patients for an annual chronic illness review. This is for a range of conditions, including, but not limited to:

• Asthma / Chronic Obstructive Pulmonary Disease (COPD)
• Cardiovascular/Heart Disease including Atrial Fibrillation, Heart Failure and High Blood Pressure (Hypertension)
• Chronic Kidney Disease (CKD)
• Diabetes
• Dementia
• Learning Disabilities
• Mental Health
• Rheumatoid Arthritis
• Stroke and Transient Ischaemic Attacks (TIAs)

An Annual Review is required for all patients with a chronic disease. The purpose of an annual review is to ensure patients are taking the right medication and receiving the best possible care for their condition(s).

We encourage our patients to take an active role in helping to manage their own conditions, but it is helpful to attend the practice at least once a year for a review.

The majority of our annual reviews are more appropriately carried out by our nursing team. You may need 2 appointments: with a Healthcare Assistant and one with the Practice Nurse. The reception team will advise accordingly and book your appointment(s) with the most appropriate clinician(s).

Our invite system for annual reviews is based on your month of birth. you will be contacted 2 times each year) If you have not had an annual review since the 1st of April each year, you will receive your first invite within a couple of months of your birth month. If you do not book an appointment for your annual review, you will receive a second invite roughly 1-2 months after the initial invite.

At Your Appointment

When calling up to book in you will be booked in for one of our HCA (Health Care Assistant) Annual Review appointments. At this appointment the HCA will do any tests and checks that may be needed for your review.

The HCA will then inform you of the next steps, by either booking you a follow appointment with her or a telephone consultation with the practice nurse.

Before Your Appointment

• Diabetes/CKD: If you also suffer from Diabetes /Pre-Diabetes or CKD please make sure you bring a urine sample to your appointment. Specimen bottles can be picked up from reception if needed.

It is important to attend your review appointment so we can ensure your condition is properly controlled and managed. If you run out of your repeat medication and have not had a review, we may not be able to re-authorise your repeat medication.