Long-Term Conditions

Personalised care to help you stay well

Living with a long-term condition means having the right support when you need it. At Local GP, we provide ongoing care to help you manage your health, reduce complications and maintain your wellbeing.

We know that every patient is different, which is why we offer a personalised recall system. Rather than a one-size-fits-all approach, we tailor your reviews to your individual needs and ensure you are invited at the right time for monitoring, treatment and support.

Our Personalised Recall System

If you have a long-term condition, you’ll be added to our recall system, which helps us keep track of when your reviews, blood tests, monitoring and medication checks are due.

Our aim is to make managing your healthcare as straightforward as possible by ensuring you receive the right care, at the right time.

Depending on your condition and individual needs, we may contact you to arrange:

Annual or more frequent health reviews

Blood tests

Blood pressure checks

Medication reviews

Routine monitoring

Vaccinations, where appropriate

If you think you are due a review or have not received an invitation, please contact the practice.

A Team-Based Approach

Your care is delivered by a multidisciplinary team, with each member playing an important role in supporting your health.

This may include:

Administrative staff who coordinate your personalised recall and appointments

Healthcare Assistants (HCAs) who carry out routine monitoring, blood tests and health checks

Practice Nurses who provide condition reviews, education and ongoing support

Clinical Pharmacists who review your medications, ensure they remain safe and effective, and answer any medication-related questions

GPs who oversee your care, review complex health needs and support long-term treatment planning

By working together, our team can provide coordinated, high-quality care that is tailored to your individual needs.

Conditions We Commonly Support

We provide ongoing care for a wide range of long-term conditions, including:

  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetes
  • High blood pressure (Hypertension)
  • Heart disease
  • Chronic kidney disease
  • Stroke and Transient Ischaemic Attack (TIA)
  • Atrial fibrillation
  • Heart failure
  • Hypothyroidism
  • Epilepsy

If you have more than one long-term condition, we’ll coordinate your care wherever possible to reduce the number of appointments you need.

Medication Reviews

Regular medication reviews help ensure your treatment remains safe, effective and appropriate. Our clinical pharmacists and GPs will review your medicines, discuss any side effects or concerns, and make changes where needed to help you get the most benefit from your treatment.

Supporting You to Stay Well

Managing a long-term condition is about more than medication. Our team can also offer advice and support on:

Healthy eating

Physical activity

Weight management

Smoking cessation

Alcohol awareness

Preventing future health problems

Small changes can make a significant difference to your long-term health, and we’re here to support you every step of the way.

Need Help?

If your symptoms have changed, you have concerns about your condition, or you think you are due a review, please contact the practice.

Together, we’ll ensure you receive the care and support you need to manage your health with confidence.