Chronic Disease Management Clinics

You will be invited for review at least once a year if you have one or more of the following conditions:

  • Diabetes
  • Heart disease
  • Kidney disease
  • High blood pressure
  • Peripheral vascular disease
  • Stroke & Transient Ischaemic attack (TIA)
  • Asthma
  • COPD (chronic obstructive pulmonary disease)
  • PCOS (polycystic ovary syndrome)
  • Gout
  • Pre-diabetes (non-diabetic hyperglycaemia)
  • Learning disability
  • Dementia
  • Severe mental illness

We aim to invite you for a check in the month of your birthday. Additional monitoring throughout the year may be required for some people. A dietician, specifically for people with diabetes, is usually available on a monthly basis.