The roll-out of a new Chronic Disease Management Programme for GMS/GPVC patients has started.

The first phase of the Programme is targeting medical card & Doctor Visit card patients, aged over 70 years, with the following chronic diseases:

• Diabetes Type 2
• Asthma
• Chronic Obstructive Pulmonary Disease (COPD)
• Cardiovascular Disease including:
  • Heart Failure
  • Ischaemic Heart Disease
  • Cerebrovascular Disease (Stroke/ Transient Ischemic Attack (TIA))
  • Atrial Fibrillation

Patients who are entitled to this new HSE initiative will be contacted by our practice team to attend the surgery in person for a nurse consultation or remotely by telephone in line with current Covid19 restrictions.

Patients will then be contacted in six months’ time after their nurse consultation to attend their doctor for a follow up GP consultation. These reviews will include patient education, preventative care, medication review, physical examination, investigations and an individual care plan.

This is a free service.