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Chronic Disease Monitoring
Disease monitoring profiles
Local clinicians have developed a revised set of blood profiles representing a consensus of local and expert opinion evaluating a broad evidence base, NICE guidelines and QOF guidance to diagnose and monitor chronic diseases in general practice. Please see the attached briefing paper.
The tests should improve consistency of chronic disease monitoring, reduce primary care workload and potential patient harm. Unnecessary extra tests are not included unless the clinician specifically requests them.
Chronic disease profile tests v1.2 involve monitoring the actual condition itself plus inevitable “screening tests” for closely related conditions/complications. In some instances thresholds for including additional “screening tests” are indistinct. These profiles hopefully avoid the pitfalls of unnecessary screening by only including tests with robust clinical reason. In practice, differences of opinion on what tests to include were minor and the final test profiles refine and reflect existing best practice. For further information, see Q&A sheet