Long term condition (LTC)

An LTC review is a planned check‑in for conditions such as asthma, COPD, diabetes, hypertension, heart disease, arthritis, and many others. The aim is to look at how the condition is behaving, how treatment is working, and whether anything needs adjusting. It also gives space to discuss symptoms, lifestyle, mental wellbeing, and any challenges with medications.

Long‑term condition (LTC) reviews are designed to give people with ongoing health conditions regular, structured support. They help keep conditions stable, prevent complications, and give patients space to talk about how they’re managing day to day.

1. Annual recall

Patients are invited—often by text, around the same time each year (usually month of birth).

2. Pre‑review tests

Depending on the condition, we may arrange:

• Blood tests (e.g., kidney function, cholesterol, thyroid levels)
• Request blood pressure readings
• Urine tests (e.g., for diabetes or kidney disease)

These tests must be completed before an appointment can be booked, as Reception cannot schedule the LTCR without them.

3. The main review appointment

This is often with a practice nurse or clinical pharmacist. It typically covers:

• How symptoms have been over the past year
• Medication review, including side effects or difficulties taking them
• Test results and what they mean
• Risk factors such as smoking, activity levels, or diet
• Vaccinations relevant to the condition
• Planning next steps or follow‑up

For people with more than one long‑term condition, the review may be combined into a single, longer appointment.

4. GP follow up

If the GP needs to review your medications, a remote appointment will be arranged by the reception team, if the doctor needs to discuss anything they will contact you by telephone.

Regular reviews help catch problems early, reduce the risk of complications, and support people to stay well for longer. They also give patients a predictable point of contact each year to raise concerns or ask questions.