Long-term conditions

We invite patients who have a long-term condition for an annual review. 

Each year we invite thousands of patients for an annual review. These are for a range of conditions, including, but not limited to:

  • Cardiovascular/heart disease (including high blood pressure (hypertension), heart failure, peripheral arterial disease and atrial fibrillation)

  • Stroke and Transient Ischaemic Attacks (TIAs which are commonly referred to as ‘mini strokes’)

  • Diabetes

  • Respiratory diseases (including asthma and COPD)

  • Mental health

  • Rheumatoid arthritis

We are hoping to provide a more efficient service that includes a reminder for our patients when their annual review is due. We have traditionally used letters to remind patients that their annual reviews are due. We are now encouraging our staff to send text messages in the first instance as they are both environmentally friendly and data secure. If you do not wish to receive correspondence this way, please let us know as we can update your records to stop this. For the patients who do not have access to text messaging we will communicate via telephone or revert to mailing out a letter. We therefore ask that all patients inform us when their contact details change, so that we can update their records and contact preferences. Carers are welcome to support you with your review.

If you have multiple conditions listed above, we may be able to combine these into one or two appointments. Ask the receptionist when you call about this.

Diabetic Reviews


Everyone who has been diagnosed with Type 2 diabetes should undergo a diabetes care review at least once annually so we can monitor your general health. If you are newly diagnosed, a child or have diabetic complications, we may invite you for a diabetic review more often. You will have two appointments:

At appointment 1 with the Healthcare Assistant, we will:

Take your height and weight
Take your blood pressure and pulse
Provide you with blood test forms if you do not already have these
Do a urine test
Check your feet for circulation and sensation.

Discuss your current diet, exercise and alcohol or smoking.


At appointment 2 with the Senior Clinical Pharmacist or Advanced Nurse, we will:

Discuss any issues you have with your diabetes or health in general
Review your medication including any side effects
Advise of any change in treatment, lifestyle or medication

You will also be invited for Retinal Screening at the hospital.

At this appointment the back of the eye (retina) is checked for early diabetic changes which could lead to vision complications if left untreated.

For more information on diabetes, visit nhs.uk or www.diabetes.org.uk