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Chronic Disease Management

Our team are dedicated to providing  preventative health care . 

We have comprehensive disease management programmes for patients with:


Cycle of Care Patients with a medical card with Type 2 Diabetes can now have their condition reviewed twice a year- this assessment includes blood testing, blood pressure check, medication review, BMI measurement and a symptomatic foot review.

Studies have shown that Primary Care is the optimal setting to provide the best standard of Diabetes care for the majority of patients.


We provide health management for patients suffering the effects of long term smoking on their lung health. Asthma Management Ireland has reported the 4th highest prevalence of Asthma worldwide. Our team provide education on asthma management and improve levels of control in our patients.


We have tailored a programme of care for those diagnosed with high blood pressure (BP). These patients are recalled for regular reviews to ensure the best gold standard and internationally recommended level of targeted care. This involves regular 24-hour BP monitoring, Ecg heart tracing, optimal weight-loss, diet and lifestyle changes and medication review.

Heart Disease

Patients who have had a previous history of a heart attack may be enrolled in a programme of care: Heart Health. This involves continuous 3 monthly assessment of cardiac function and is a nurse-led prevention service.