Chronic Disease Monitoring


A recall system is in place and our asthmatic patients will be invited annually to check they are keeping well and be given appropriate advice and treatment.


(Chronic Obstructive Pulmonary Disease)
Patients with chronic chest problems such as emphysema or chronic bronchitis are invited to attend this clinic annually but can make an appointment at any time if unwell.


A six-month recall system is in place for all patients with 'type two' diabetes who do not attend the hospital. Regular blood tests eg for cholesterol and blood sugar levels, plus blood pressure checks, are undertaken. Ongoing education regarding diet and exercise is also provided. Appropriate referrals can be made to the podiatrist, optician or dietician. Newly diagnosed patients or those with problems may be seen more frequently.

Coronary Heart Disease (CHD) 

This clinic is for patients with angina or who have suffered a heart attack in the past. Patients are reviewed annually to monitor their cholesterol, blood pressure, symptoms and current medication.


All patients on medication for high blood pressure are screened every six months - more often if required. Regular blood tests are also undertaken and medication reviewed to ensure optimal control.


Patients who have suffered from a stroke or TIA (transient ischaemic attack) are invited to an annual review. Checks are made of blood pressure, cholesterol etc and symptoms/medication reviewed.



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