Annual Reviews for Long-Term Conditions

When you are diagnosed with a long-term condition, we will add you to our register for that specific condition.

Every year you will be sent an invitation for a review to help you control your condition.

You will be asked to complete a questionnaire and maybe book a blood test or monitor your blood pressure for 7 days

Please note that due to COVID, some of these reviews were suspended throughout 2020-2021

From the 1st April 2021, we will send out invitations to patients around the month of their birth and a reminder one month later for the long-term conditions below:

Please ensure you provide us with your height, weight, blood pressure, smoking and alcohol status for all reviews as this will not be done during a blood test appointment.

What do I need to do?

Step 1 Complete our online questionnaire for each of your conditions using an internet ready device (smart phone, tablet & computer) via or alternatively visit our website and select Health Questionnaires from the left hand menu and Long-Term. Conditions. If you are on the Learning Disability register please go to STEP TWO
Step 2 Arrange a blood test if you have one or more of these conditions:
Heart Disease, Pre-Diabetes, history of Gestational Diabetes, Kidney Disease, Heart Failure (not AF), Stroke/TIA, take Levothyroxine, Diabetes, Hypertension, Mental Health, Learning Disabilities
Step 3 Provide us with a Urine Sample (first of the day) if you have Diabetes
Step 4 Monitor your blood pressure (BP) for 7 days at home if you are diagnosed with Hypertension.
For all other conditions please supply us with 2 home BP readings 5 minutes apart or use our self-service BP machine in the Surgery.
Step 5 Once we have your completed questionnaire, BP readings and any test results a Clinician will review all information
Step 6 You will then be told to book a follow up telephone appointment with an appropriate Clinician or asked to continue to monitor your condition for another year.

If you do not have the ability to complete the questionnaire online, please contact us on 01252 545078 after 11am Monday to Friday, and our Recall Team will send you a paper copy via the post.

If you do not have your own home BP machine, please come and use the self-service machine at thes Surgery. Alternatively your local pharmacy may offer a BP service but it may be chargeable.

You can download a home blood pressure diary from our website which explains how to monitor your BP:

*Please note that our Clinicians are unable to complete your review(s) without the necessary blood test results, BP readings and your completed questionnaire. *

If you do not wish to have an annual review for one or more long-term conditions, please let us know so we can mark your record that you have declined your health review. You will be invited again the following year in your birth month.

If we do not hear from you after your 2nd invitation, we will assume you have declined your annual review(s).