Year of Care – Long Term Condition appointment changes

We are changing the way we organise appointmnets and provide support for people who have long term conditions by putting in place a new way of working called Personalised Care and Support Planning.

What is personalised care and support planning? This way of working aims to give you the opportunity to get more out of your annual review appointments by reorganising the way things happen and giving you more information before you see your nurse or doctor. It should help you to talk about WHAT is important to you, WHAT you can do to look after your health and stay well and WHAT support you may need.

Who is it for? Anyone with Diabetes or a long term condition like heart failure, hypertension, COPD or asthma.

What does this mean for me? This means that your personalised care and support planning review will take place over two seperate appointments and you will have time to think about what you want to get out of these visits.

What happens at the first appointment? The health  care assistant will take your blood pressure, weight, height and lifestyle details. They will also request bloods if required.

What happens next? If you have had tests and checks done at a first appointment the results will be sent to you with an explanation of what they mean. There will also be a space on the letters for you to make notes. This will give you a chance to think about what you would like to talk about at your care and support planning appointment with the nurse. It is helpful if you bring this letter with you.

What happens at the personalised care and support planning appointment? At your appointment you will be able to ask questions and talk about what is important to you and th enurse will raise and issues they are concerned about. Once you both agree on one or two main things to work on you will get the chance to work out a plan and identify any support you need to help you look after your health.


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