Long Term Conditions

We endeavour to enable our residents to live well with Long Term Conditions. We seek to provide support for people in our area to make and maintain healthy lifestyle choices, managing both their mental and physical wellbeing.

Focusing primarily on diabetes, cardiovascular disease and respiratory conditions, we are aiming for robust screening and early diagnosis, and therefore better prevention of the negative impact these conditions can have. We are working to establish improved access to a variety of services and tools to help people in the self-management of their condition. Through better self-management we will see better quality outcomes for all.

Some of the current work underway includes:

• A Breathlessness Clinic pilot to aid the diagnosis of asthma and Chronic Obstructive Pulmonary Disease (COPD)
• Improving the pulmonary rehabilitation service for lung disease patients
• Continuing to roll out the Blood Pressure@Home service – which around 1,700 patients have already used
• An atrial fibrillation screening project aimed at residents from South Asian, Black African and Black Caribbean backgrounds who tend to have a higher risk of developing diabetes and cardiovascular disease.