Chronic Disease Management from Private GPs in London: Diabetes, Hypertension, and Beyond

Living with a chronic health condition requires ongoing medical support, regular monitoring, and accessible healthcare when you need it. Whether you're managing diabetes, hypertension, asthma, thyroid disorders, or other long-term conditions, NHS GP appointments can be difficult to secure when you need them most. At The Online GP, we provide comprehensive chronic disease management for London patients through convenient telephone and video consultations, ensuring your conditions stay well-controlled.

Why Choose Private GPs for Chronic Disease Management?

Managing chronic conditions through NHS services often means:

- Waiting weeks for routine review appointments

- Rushed 10-minute consultations that don't allow time for questions

- Difficulty getting blood test results explained properly

- Challenges accessing care when symptoms worsen between scheduled reviews

Private chronic disease management offers significant advantages:

Immediate Access When Needed: No waiting weeks when your blood pressure spikes, blood sugar control worsens, or symptoms change. Book same-day or next-day consultations when you need medical input.

Unhurried Consultations: Our telephone (£49) and video (£150) consultations provide adequate time to discuss your symptoms, review test results, adjust medications, and address concerns properly.

Flexible Monitoring: Book reviews at frequencies that suit your condition's stability – whether monthly, quarterly, or as-needed when you notice changes.

Medication Management: We can prescribe, adjust, or renew medications for chronic conditions, with prescriptions sent electronically to your pharmacy.

Comprehensive Blood Test Coordination: We can arrange private blood tests with fast results turnaround (24-48 hours), ensuring timely monitoring of your condition.

What Chronic Conditions Can Private GPs Manage?

Our experienced GPs can provide ongoing management for numerous chronic conditions:

Diabetes Management:

Type 2 Diabetes:

- HbA1c monitoring and target setting

- Oral medication management (Metformin, Gliclazide, SGLT2 inhibitors, etc.)

- Lifestyle modification advice

- Blood glucose pattern review

- Complication screening coordination

- Weight management support

Type 1 Diabetes:

- Insulin regimen review

- HbA1c monitoring

- Hypoglycemia management

- Prescription of test strips and lancets

- Coordination with specialist endocrinology when needed

Prediabetes:

- Early intervention before progression to diabetes

- Lifestyle coaching

- Regular monitoring to track improvement or progression

Hypertension (High Blood Pressure):

- Blood pressure monitoring and target setting

- Medication management (ACE inhibitors, calcium channel blockers, diuretics, beta-blockers)

- Home blood pressure monitoring guidance

- Cardiovascular risk assessment

- Lifestyle modifications (diet, exercise, stress management)

- Coordination of ECG and other cardiac tests when needed

Asthma and Respiratory Conditions:

- Asthma control assessment

- Inhaler technique review

- Preventer and reliever medication optimization

- Peak flow monitoring

- Asthma action plan development

- COPD (Chronic Obstructive Pulmonary Disease) management

- Referral to respiratory specialists for severe cases

Thyroid Disorders:

- Hypothyroidism (underactive thyroid) management

- Levothyroxine dose adjustment

- TSH, T3, T4 monitoring

- Hyperthyroidism initial management and specialist coordination

- Thyroid antibody testing

- Symptom review (fatigue, weight changes, mood)

High Cholesterol (Hyperlipidemia):

- Lipid profile monitoring (total cholesterol, LDL, HDL, triglycerides)

- Statin therapy (Atorvastatin, Simvastatin, Rosuvastatin)

- Cardiovascular risk calculation (QRISK scores)

- Dietary modification advice

- Monitoring for statin side effects

Autoimmune Conditions:

- Rheumatoid arthritis symptom monitoring

- Inflammatory markers tracking (CRP, ESR)

- Medication side effect monitoring

- Coordination with rheumatology specialists

- Psoriasis and psoriatic arthritis management

- Inflammatory bowel disease (IBD) - Crohn's and Ulcerative Colitis monitoring

Chronic Kidney Disease:

- eGFR and creatinine monitoring

- Blood pressure control (crucial for kidney protection)

- Medication review (avoiding nephrotoxic drugs)

- Dietary guidance

- Coordination with nephrology when needed

Chronic Pain Conditions:

- Fibromyalgia management

- Chronic back pain

- Migraine prevention and treatment

- Medication management including prescription of pain relief

- Referral to pain specialists when appropriate

How Does Private Chronic Disease Management Work?

Establishing Care:

1. Initial Comprehensive Consultation: Video consultation (£150) to review your condition history, current medications, recent test results, and establish a management plan.

2. Blood Tests If Needed: We'll arrange appropriate monitoring blood tests (HbA1c for diabetes, lipid profiles, thyroid function, kidney function, etc.) with results typically within 24-48 hours.

3. Treatment Plan Development: Based on your current status, we'll establish management goals, medication regimens, and monitoring schedules.

Ongoing Management:

1. Regular Review Consultations: Schedule routine reviews (telephone £49 or video £150) at appropriate intervals – every 3 months, 6 months, or as clinically appropriate.

2. As-Needed Access: Book additional consultations whenever symptoms worsen, side effects occur, or you have concerns about your condition.

3. Medication Renewals: Quick telephone consultations (£49) for routine prescription renewals when your condition is stable.

4. Blood Test Monitoring: We'll coordinate periodic monitoring tests and review results with you promptly.

5. Specialist Coordination: When specialist input is needed, we can arrange private referrals to consultants, often with appointments within 1-2 weeks.

What About NHS Coordination?

Private chronic disease management can work alongside your NHS care:

- We can provide additional monitoring and support between NHS appointments

- Offer second opinions on treatment approaches

- Provide faster access when symptoms worsen

- Coordinate private specialist referrals when NHS waiting times are too long

- Send summaries to your NHS GP if you wish (with your consent)

How Much Does Chronic Disease Management Cost?

Transparent, affordable pricing:

Initial Comprehensive Review: £150 (video consultation)

Routine Follow-Up Reviews: £49 (telephone) or £150 (video)

Medication Renewal Consultations: £49 (telephone)

Blood Tests: Variable costs depending on tests required (£50-250 for typical monitoring panels)

Prescriptions: Included in consultation fees (pharmacy dispensing charges apply)

For someone with stable diabetes requiring quarterly reviews, annual costs would be approximately £200-600 depending on consultation type and blood test frequency – a small investment for significantly better access and more thorough care.

When Should You Consider Private Chronic Disease Management?

Private management makes particular sense if:

- Your NHS GP practice has appointment availability issues

- You need more frequent monitoring than NHS services can provide

- Your condition has been difficult to control and needs more intensive management

- You want longer consultation times to discuss concerns properly

- You need faster access to specialists

- You're traveling frequently and need flexible healthcare access

- You want second opinions on treatment approaches

- Blood test results need faster turnaround

Monitoring Targets and Quality of Care

Our chronic disease management follows the same clinical guidelines used by NHS GPs:

- Diabetes: HbA1c targets typically <53 mmol/mol (7%) for most patients

- Hypertension: Blood pressure targets <140/90 mmHg (or lower for specific patients)

- Cholesterol: Targets based on cardiovascular risk assessment

- Thyroid: TSH maintained within normal range (typically 0.5-4.5 mU/L)

We use evidence-based guidelines from NICE (National Institute for Health and Care Excellence), ensuring you receive the same standard of care as NHS services, with added convenience and accessibility.

Ready for Better Chronic Disease Management?

Don't let appointment availability issues prevent you from managing your chronic condition effectively. Whether you have diabetes, hypertension, asthma, thyroid problems, or other long-term conditions, our accessible, thorough care can help you maintain better control.

WhatsApp us today at [your number] to discuss chronic disease management. Same-day appointments available. Video consultations £150, telephone consultations £49. Take control of your long-term health.