Chronic disease


Chronic care management (CCM)

We support and offer comprehensive checks for patients with chronic or long-term conditions. The quarterly CCM checks are free to all eligible patients.

The programme is based on the chronic care model, to support and treat patients with chronic conditions in the community.

The programme also involves family education about the condition and individual needs, so they can offer support to lead a healthier lifestyle.

The CCM programme includes five modules:
  • diabetes
  • congestive heart failure
  • respiratory disease
  • cardiovascular disease
  • depression.
Ask your doctor or nurse if you would benefit from a CCM programme.