What is the Chronic Disease
The CDM Programme aims to improve the health and well being of patients living with specific chronic diseases-Type 2 diabetes, Asthma, COPD and Cardio vascular disease. It is provided by Dr Cassidy to ensure patients conditions are actively monitored to improve management of their conditions.
Am I an eligible patient and can I access
this programme free of charge?
You are eligible to join this programme free of charge if you:
- Have a medical card or a GP visit card
- Are aged 18 years or over
- Have a specific chronic disease(s) :
- Type 2 Diabetes
- Asthma
- Chronic Obstructive Pulmonary Disease (COPD)
- Cardiovascular Disease including: – Heart Failure – Heart Attack (Angina) – Stroke – Irregular Heartbeat (Atrial Fibrillation)
Contact Us
Next Steps: What will my practice be doing to include me in the CDM Programme?
Your GP or general practice nurse will be inviting you to register for the Structured Chronic Disease Management Programme. We are also very happy for you to get in touch by phone or email and let us know you want to participate – this is the fastest way to enrol in the programme as it may take some time for us to get in touch with you if, for example, we do not have your mobile number or email address.
- Your GP or general practice nurse will talk with you and explain the programme.
- They will discuss your general health and well-being with you and focus on your specific chronic condition and health issues. Blood tests and other tests such as ECG and 24 hour blood pressure monitoring will be carried out as usual by your general practice nurse.
- You will be issued with a written Care Plan after your Dr discusses your results with you.
How will I benefit as a patient from participating?
- Structured reviews of your chronic disease with your GP or general practice nurse
- A personalised care plan developed and agreed with your GP
- Regular reviews of your care plan and medication
- Opportunities for structured education and self-management support
- Early detection of any new conditions you may develop
- Early detection of complications in your condition(s)
- Care in your community, close to your home.
How will the programme work for me?
There will be 2 free structured reviews in the GP surgery each year as part of the Chronic Disease Management Programme. This amounts to a total of 4 free visits per year.
Each structured review includes 1 free visit to your GP and 1 free visit to your general practice nurse at your GP surgery.
Your information
Once you are on the Chronic Disease Management Programme you allow certain information to be collected at each structured review as part of the programme. During each structured review, your GP will record your:
- Name and age
- Chronic disease diagnoses
- Medical history
- Details of any symptoms or investigations you have had since your last visit.
Why is my information useful?
Information gathered as part of the Chronic Disease Management Programme will play a vital role in helping to improve our understanding of chronic disease. It will improve the health services ability to detect, treat and prevent chronic diseases as well as deliver an improved service to those with chronic disease.