Chronic Disease Management

The Chronic Disease Management programme is for people who have a medical card, GP Visit card or a Health Amendment Act card and have a specified chronic disease such as a cardiovascular disease, COPD, asthma and type 2 diabetes.

The programme emphasises:

Lifestyle and medical risk factor control

Disease management 

The creation of a patient care plan

A chronic disease is a long-term health condition that needs ongoing treatment and management. The programme is designed so that you can work with your GP on:

Monitoring your condition

Identifying early treatment

Supporting the way you manage your condition

Am I Eligible for Chronic Disease Treatment?

You can join this programme, free of charge, if you:

Have specific chronic disease/s, namely Type 2 diabetes, Asthma, COPD, Heart Failure,
Heart Attack, Angina, Stroke, Cardiac Arrest, Irregular Heartbeat, and Hypertension.

Have a medical card or a GP visit card.

Are aged 18 years or over.

Benefits of the Programme:

The programme can help you and your GP to manage your condition and prevent hospital admissions through:

Structured reviews of your chronic disease with your GP or practice nurse

A personalised care plan of your needs, preferences and choices developed and agreed with your GP

A review of your care plan and medicine by your GP

Support to self-manage your condition

Opportunities for structured education and self-management support

Early detection of any new conditions you may develop

Early detection of any complications in your condition

Care in your community, close to your home

How the Programme Works:

The programme includes 2 free reviews in every 12 month period that you are part of the programme.
There is no charge for any tests carried out as part of your programme reviews.​ 

You can continue to visit your GP as normal outside of the scheduled chronic disease management reviews.

How can I register for the Programme?

Your GP or practice nurse will register you for the programme if you want to take part in it and you are eligible.

Your Information:

As part of the programme, your GP or practice nurse will record some information about you at each review.
This will include your:

name and age

chronic disease diagnosis or diagnoses

medical history

details of any symptoms or tests you have had since your last visit

How the HSE use your Personal Information:

Your GP will send information to the HSE at the end of each structured review. This will include your name and address, medical or GP card number, and chronic disease history.

 This information will help the HSE improve our understanding of chronic diseases. It will improve our ability to detect, treat and prevent chronic diseases in the future. It will help us to deliver an improved service to people with these chronic diseases.

​Your personal information is stored in line with current data protection regulations. You will have full and open access to the personal information the HSE keep about you. You can ask for it from the HSE at any time.

Read the privacy statement for the Chronic Disease Management Programme

Opting out of the Programme:

It is your choice to take part or not. You can opt out of the chronic disease treatment programme at any time by letting your GP know.

If you opt out, you will not get any reviews and other care planning under the programme from that point. You can always rejoin the programme if you want.

Speak to your GP or practice nurse if you have any questions about the programme.

This content of this page (and links to other sites) is for general information purposes only and does not substitute medical advice. While we endeavour to keep this website up-to-date, errors may occur. We advise all patients to discuss their health concerns with their GP. If you would like to suggest amendments or highlight new information that could be useful to others please don’t hesitate to get in touch.