Long-Term Conditions Clinics
Long-Term Conditions Clinics
What is a Long-Term Conditions Clinic?
How Will This Help My Practice?
Our expert pharmacists provide structured medication reviews, monitoring and management services of LTCs in remote settings, strengthening practice handling of these conditions for its patients.
Improves patient outcomes
Utilising specially trained pharmacists with frequent, in-depth clinical reviews.
Reduces GP workload by delivering LTC reviews remotely
Removes the need for additional in-practice clinic space.
Environmentally sustainable approach
Supporting NHS net zero ambitions with digital-first LTC management.
Supports QOF and SNOMED standards
Improving the quality of reviews, monitoring and treatments.
Improves safety and medicines optimisation
Identifying high-risk medicines, optimising dosages, and deprescribing where appropriate.
Aligns with local guidelines
Following NICE guidance, ICB pathways, MHRA alerts and safety requirements.
“The team is consistently reliable. Phones are always answered and emails come back the same day. It’s made a real difference to how we run our medication reviews.”
“Fast email replies and clinical input whenever we need it. They picked up our medicines work seamlessly and delivered from day one.”
“Excellent service from start to finish. Easy to reach, quick to reply, and they clearly know NHS workflows inside out. We couldn’t recommend the team more highly.”
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Frequently Asked Questions
What types of long-term conditions clinics can pharmacists carry out?
Our pharmacists are highly trained in LTC treatments to produce better patient outcomes. This service includes our pharmacists handling the following:
- Annual asthma reviews
- COPD reviews
- Type 2 diabetes medicines optimisation
- Hypertension reviews
- CVD prevention and lipid optimisation
- CKD staging and monitoring
- Management of thyroid issues, such as hypothyroidism
- Monitoring of medication to treat mental health conditions, such as SSRIs, antipsychotics, and lithium
- Monitoring of high-risk medicines, such as DOACs and lithium
- Chronic pain
Can your pharmacists issue prescriptions?
How do remote LTC clinics work?
Our LTC clinic service is carried out remotely by our expert team of pharmacists. Consultations use phone or video where clinically suitable, taking account of the patient’s preferences and accessibility needs. All documentation and prescribing happens directly in whichever clinical system your practice uses: EMIS, SystmOne, Vision or Medicus.
Remote reviews can reduce demand for clinic space. The practice team still provides physical examinations, measurements or other in-person assessments when needed, alongside support for escalated or complex issues.
Can this service help with outstanding reviews or QOF year-end?
Yes, this service offers targeted programmes to help practices:
- Work through outstanding asthma and COPD reviews
- Reduce uncontrolled diabetic cohorts
- Tidy hypertension registers
- Review lipid management and cardiovascular risk where appropriate
- Align CKD coding
- Work through frailty and polypharmacy lists
Long-term conditions our pharmacists review
Each clinic runs as a hybrid: the practice takes the physical measurements and examinations, and our pharmacists complete the clinical review remotely, covering medicines, monitoring results, follow-up and QOF coding. The conditions practices most often hand over:
Asthma
Annual asthma reviews covering reliever use, preventer adherence, the current treatment step and the personalised action plan, coded for QOF.
COPD
COPD reviews covering the inhaler regimen, exacerbations since the last review and the medicines plan, coded for QOF.
Type 2 diabetes
Medicines optimisation for type 2 diabetes, using the HbA1c, kidney function and blood pressure results recorded by the practice.
Hypertension
Hypertension reviews using clinic or home readings, with treatment adjusted within the agreed protocol and monitoring bloods checked.
CVD prevention and lipids
Lipid optimisation for primary and secondary prevention, following NICE guidance and your ICB pathway.
Chronic kidney disease
CKD staging and monitoring, including the medicines that need a dose review as kidney function changes.
Thyroid
Hypothyroidism monitoring, with thyroid function results reviewed and doses adjusted within protocol.
Mental health medicines
Monitoring for medicines such as SSRIs, antipsychotics and lithium, including the blood tests each one needs.
High-risk medicines
DOACs, lithium and other high-risk medicines monitored to schedule, with overdue patients followed up. See high-risk drug monitoring.
Chronic pain
Reviews of long-term pain medicines, with deprescribing where appropriate.
Prescribing follows protocols agreed with the practice: our independent prescribers sign prescriptions within their competence, and anything outside it goes to the patient’s GP. For register checks, recall and QOF coding across the year, see QOF and disease register support. Women’s health has its own service: see women’s health clinics.
