Drs Joseph Adler & Frazer Rosenberg

We are improving the way we work with patients with long-term conditions

Patients living with certain long-term conditions will be encouraged to attend a Yearly Health Check. Long-term conditions are those that impact over a long period of time, such as diabetes and heart diseases.

Patients will receive personalised care and support from healthcare professionals from their general practice. This will cover things that patients say matter most to their health and wellbeing, from the best treatment for their condition, to wider things like employment, housing, and mental health.

Our goal is that by planning care together with care, patients will have the confidence to manage their health, reduce their risk of being admitted to hospital, and have a better quality of life.

Who is this for?

Initially, we will cover nine long-term conditions:

  • Cardiovascular disease (for example, strokes, health failure, ischaemic heart disease, and peripheral artery disease)
  • Diabetes
  • Hypertension (High blood pressure)
  • Hyperlipidaemia (High cholesterol)
  • Non-alcoholic fatty liver disease
  • Atrial fibrillation
  • Chronic kidney disease
  • Asthma
  • Chronic obstructive pulmonary disease.

In the future, we will look to expand this to cover more long-term conditions.

Please go to our Long term conditions webpage for further information on what you can expect at your appointment and how you will be contacted by us.