Chronic Disease & Long Term Conditions

Chronic diseases and long-term conditions require regular reviews, and we help monitor and manage a wide range of these including Heart Disease, Stroke and TIA, Diabetes, Hypertension, COPD, Asthma, Epilepsy, Hypothyroid, Mental Health, Cancer, Kidney Disease, Depression, Atrial Fibrillation, Obesity, Learning Difficulties, Drug Misuse, and Care Homes.

Heart Disease

Patients with heart disease should be reviewed at the practice at least annually. The Practice Nurse will arrange all relevant blood tests and have these available to review with you at your appointment.

Stroke & TIA

Patients who have previously suffered a Stoke or Transient Ischaemic Attack (TIA) will be asked to attend for regular review so that we can optimise the treatment of your condition.


The Practice offers routine diabetic reviews at a special appointment each year, where we will discuss with the patient their diabetes management and go through any concerns they may have.


Patients will be reviewed by the Practice Nurse, with a GP available for consultations and examination, if necessary. Patients are seen for blood pressure monitoring and medication checks.


COPD reviews allow our Nurse to check your height, weight, blood pressure and medication. A spirometry test is also carried out to determine if there is any deterioration in the patient’s lung function.


Asthma clinics are run by our Practice Nurse, where we will assess your treatment and inhaler therapy to ensure your are on the correct medication to help keep your asthma in control.


Epilepsy is a chronic condition that needs frequent review and our patients are managed and closely monitored by the practice team, whether for urgent ailments or for regular health checks.


Yearly checks are carried out by our team, which include the necessary measurements and blood tests, to make sure that patients are treated optimally for thyroid problems.

Mental Health

The Practice invites all patient’s with Mental Health conditions to the surgery for a general health check where they have access to a consultation and opportunity to discuss concerns and treatment with the team.


Patients who have suffered with cancer will be monitored and followed-up by our Primary Care Team who are here to help advise and treat on your general health as well as cancer-related problems.

Kidney Disease

Patients with chronic kidney disease or acute kidney injury are monitored with regular blood tests and general health reviews in the practice to help prevent any further deterioration in their condition.


One in every five people in the UK suffer from depression. Our team are able to help by providing friendly advice and your GP can also refer you for the best choice of therapy to help with your condition.

Atrial Fibrillation

If you suffer from Atrial Fibrillation, our Pharmacists and Nurses will regularly monitor you with necessary tests, such as ECG, anti-coagulation, and blood tests, and will help you manage your symptoms.


Your primary care team can advise you about losing weight safely by eating a healthy, balanced diet and regular physical activity, and our Nurses can help you monitor any changes you make to your lifestyle.

Learning Difficulties

People with learning disabilities often have poorer physical and mental health than other people, and are therefore reviewed at least annually in the Practice by our Doctors.