Chronic disease

If you have a long term health condition it is important that your GP helps you to understand what will stop worsening of your symptoms and what to do when that happens.

Common chronic diseases are:

  • Asthma
  • Diabetes
  • Chronic Kidney Disease
  • Heart Failure
  • Chronic Obstructive Lung Disease
  • Osteoarthritis
  • Thyroid problems
  • Osteoporosis
 

Your GP has special training in managing each of these diseases, but also the care of people who have several of these conditions.  This is a unique role of general practice that helps prevent hospital admissions and improve long term health.

Your GP will work with any non GP specialists you are seeing, until they are able to discharge you back to the care of your GP.

We encourage everyone who has one or more chronic disease to have an annual health plan formed with our practice nurses and their regular GP.  This helps to focus on preventing sudden worsening of these conditions and reduce your chance of being admitted to hospitals.  More information can found here (please link to section under nursing)

Home Medication Reviews are performed by a specially trained pharmacist who then discusses their recommendations with yourself and your GP.  They reduce side effects, provide excellent education about your medications, ensure there are no drug interactions that may cause problems, can answer specific questions your GP has about complex aspects of your treatment and usually lead to less medications each day!

A Home Medication Review is recommended for anyone with a chronic disease who is

  • on multiple medications 
  • Opioids
  • recently discharged from hospital 
  • Had lots of medication changes in the past three months
  • Taking medication that requires frequent monitoring to ensure the correct dose
  • Having symptoms that may be caused from a medication