Chronic Disease Management
Chronic Disease Management (CDM)
Who is eligible?
You are eligible to join this programme free of charge if you:
Hold a valid Medical Card or GP Visit Card
Have one or more of the following chronic conditions:
Type 2 Diabetes Mellitus
Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Cardiovascular disease, including:
Heart failure
Previous heart attack or angina
Stroke
Atrial fibrillation
aged 18 years or older (eligibility from the start of 2022)
Patients aged over 70 with a valid Medical Card or GP Visit Card and specific medical conditions will also be monitored under the Chronic Disease Management Programme.
The practice will contact you if you are eligible.
How does the programme work?
Two structured reviews will be provided each year at the GP surgery.
Each structured review consists of:
One visit to the practice nurse (including any required blood tests)
Follow-up visit to the GP at the surgery
Benefits of participating
Structured reviews of your chronic condition with your GP and practice nurse
A personalised care plan developed and agreed with your GP
Regular review of your care plan and medications
Access to structured education and self-management support
Early detection of new conditions
Prevention and early detection of complications related to your condition(s)
Care provided in your community, close to home