Nurse-led annual 'birthday' review for patients with diabetes, COPD, asthma, heart disease and hypertension.

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Specialist mental health nurse review for long-term mental health problems

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Annual pharmacist review of medications linked to birthday reviews

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Double appointments when required, with a combined appointment for multiple conditions

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Home visits for patients that cannot attend

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In-house spirometry, ECG and ambulatory BP (all can be done at home)

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In-house warfarin monitoring and blood test monitoring for medications

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