UPDATED CHRONIC DISEASE MANAGEMENT
Click on the topics below updated evidence based guidelines based on those from Brig Royd Surgery -
- CVD risk management & Lipids
- Hypertension with August 2019 NICE guidance
- Ischaemic Heart Disease 2019
- Heart Failure 2019
- AF 2021 with May 2021 NICE guidance
- TIA & Stroke with May 2019 NICE guidance
- PVD
- Type 2 Diabetes 2019
- IGR & Gestational Diabtetes 2020
- Chronic Kidney Disease
- Abnormal Liver Function Tests 2020
- Asthma 2020
- COPD 2019 NICE guidance
- Osteoporosis 2020
- Rheumatoid Arthritis annual review
- How long should an CDM review appointment be with the Practice Nurse?
- What bloods need to be done at the annual review?
- Please make an appointment - prescription attachment
- DVLA medical rules
- Fitness to fly
Home BP monitoring diary
Spreadsheet for admin team to calculate average of home BPs
Staggered home blood glucose monitoring diary
Peak Flow Diary from Patient.co.uk
In order to deliver quality chronic disease management services within primary care we have to have:
- A patient centred approach.
- Consistency from the multidisciplinary team in terms of targets, schedules of care, clinical management etc.
- Validated and maintained disease registers.
- Robust call and recall systems.
- Accessible, pragmatic, evidence based, primary care orientated guidelines.
Unfortunately one of the great challenges we face in general practice is keeping pace with the rapidly changing evidence base for chronic disease management. To cope with this and to standardise care Brig Royd Surgery has created (and updated annually) these chronic disease management guidelines. As there are conflicting national guidelines in some areas of chronic disease management we have opted for pragmatic, achievable targets that fall between differing national guidelines.
NEXT UPDATE July 2020