Chronic Disease Management
A chronic disease is a long-term health condition that needs ongoing treatment and management.
To be eligible for the programme you must be aged 18 or over and have a medical card or GP visit card.
The conditions included in the Chronic Disease Management Programme are:
- Type 2 Diabetes
- Respiratory – Asthma / Chronic Obstructive Pulmonary Disease (COPD)
- Cardio/Cerebrovascular Disease including:
- Ischaemic Heart Disease
- Heart Disease under Certain Categories – stent, heart failure
- Heart Attack/Angina
- Stroke / TIA
- Irregular Heartbeat (Atrial Fibrillation)
The programme includes two set reviews in every 12-month period. Each review includes one visit with the practice nurse followed by a visit with your GP.
How will I benefit by being part of the Chronic Disease Management Programme?
The Chronic Disease Management programme has been developed in line with international best practice and research. This evidence shows that regular structured reviews of chronic medical conditions leads to improved patient outcomes through better condition management.
The Chronic Disease Management programme can improve your ability to manage your condition and support you by providing:
- Structured reviews of your chronic disease with your GP and practice nurse
- A personalised care plan developed and agreed with your GP. This care plan will help you learn about your disease and the steps you can take to improve your self-management.
- Regular reviews of your medication
- Early detection of any new conditions you may develop
- Early detection of complications in your condition(s)