Care of Patients with a Long Term Condition.

Updated on 29th November 2013 at 5:57 pm


Patients with a Long Term Condition (LTC) need regular monitoring. LTCs are Diabetes, Heart Disease, Stroke Disease, Hypertension (raised Blood Pressure) Epilepsy, Thyroid Disease, Chronic Kidney Disease, COPD and Asthma. We try to offer these patients a check up on a yearly basis and for many years patients have come along in their birthday month for an MOT. This system has had to change. We have now been asked to see patients with a LTC for a full MOT within 12 months of their last full MOT.

Bringing patients in to see us in their birthday month has had to be abondoned. For example, Mr Smith who’s birthday is in June and who had his last MOT on the 3rd of June 2013 is now due his MOT before the 3rd of June 2014 to keep it with in the prescribed 12 months. So in 2014 we will ask Mr Smith to have his annual MOT in May, well with the year, but not now in his birthday month.

The MOT itself is now slightly different. Patients will see one of the Health Care Assistants for a full check including blood tests if the condition dictates. The results of blood tests will then be sent to our Practice Nurse if the patient is Diabetic or to Mrs Rosie England one of our Practice Pharmacists. Mrs England will decide after looking at the blood results whether any further action needs to be taken. If everything is stable then these patients will not need a further results appointment. All Diabetic patients will be sent their results by letter and then given an appointment with Practice Nurse, Rosie our Practice Pharmacist or Dr Sutton.