Chronic Disease Management

An “NCT” for a Healthy Body

Opportunistic Case Finding

Bloods Test and Bio-Metrics- every 5 years

  • Ages 45+

  • At Risk of Diabetes Hypertension Cardiac Disease

  • GMS or Doctor Visit Card or Health Amendment Act Card

Prevention Program

Bloods Test and Bio-Metrics- every year

  • Ages 45+ with GMS/DVC/ HAA Card

  • Hypertension or Pre-Diabetes

  • Smokers or Raised Cholesterol

  • Obesity (BMI >30)

CDM Program

Bloods Test and Bio-Metrics- 6 monthly

Ages 18+ with GMS/DVC/ HAA Card

  • Asthma or COPD or Diabetes

  • Heart Disease - Atrial Fib MI Angina Heart Failure

  • Stroke or T.I.A