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Chronic Disease Management Programme

What is the Chronic Disease Management Programme?

The CDM Programme aims to improve the health and well being of patients living with specific chronic diseases-Type 2 diabetes, Asthma, COPD and Cardio vascular disease. This is to ensure patients conditions are actively monitored to improve management of their conditions.

Am I an eligible patient and can I access this programme free of charge?

You are eligible to join this programme free of charge if you:

  • Have a Medical Card or a Doctor Visit Card
  • Are aged 18 years or over
  • Have a specific chronic disease(s)
    • Type 2 Diabetes
    • Asthma
    • Chronic Obstructive Pulmonary Disease (COPD)
    • Cardiovascular Disease including: – Heart Failure – Heart Attack (Angina) – Stroke – Irregular Heartbeat (Atrial Fibrillation)

How will I benefit as a patient from participating ?

  • Structured reviews of your chronic disease with your GP or practice nurse
  • A personalised care plan developed and agreed with your GP
  • Regular reviews of your care plan and medication
  • Opportunities for structured education and self-management support
  • Early detection of any new conditions you may develop
  • Early detection of complications in your condition(s)
  • Care in your community, close to your home.

How will the programme work for me?

Under the Chronic Disease Management Programme, you are eligible for a twice-yearly (every six months) Nurse check-up appointment, including bloods and an annual ECG.  After your nurse appointment, an follow-up GP appointment will be arranged for you.

Each Chronic Disease Management Programme review includes one visit to the nurse and a follow-up visit to the GP.

Your information

Once you are on the Chronic Disease Management Programme you allow certain information to be collected at each structured review as part of the programme. During each structured review, your GP will record your:

  • Name and age
  • Chronic disease diagnoses
  • Medical history
  • Details of any symptoms or investigations you have had since your last visit.