CDM stands for Chronic Disease Management.

A chronic disease is a long-term health condition that needs ongoing treatment and management.

The programme is for people aged 18+ years who have a medical card, GP visit card or a Health Amendment Act card and have a specific chronic disease or diseases.

The specific chronic diseases included in the programme are:

  • type 2 diabetes
  • asthma
  • chronic obstructive pulmonary disease (COPD)
  • cardiovascular disease, including heart failure, heart attack (angina), stroke/TIA and irregular heartbeat (atrial fibrillation)

The programme is free and includes two set reviews in every 12-month period. It is designed so we can work together with you to monitor your condition and identify the best way to treat it now.

Each review includes one visit with the practice nurse followed by a visit with your GP. You may see both during the same visit or at different times. These reviews may be in the GP practice or they may be over the phone. If your review takes place in the GP practice, it will include tests such as blood tests. There is no charge to you for any tests that are part of your programme reviews. You can still visit your GP as normal outside of the scheduled programme reviews.

When you have your review, you can work with your GP to set your own goals. After the review, you will get a written care plan. This care plan will help you learn about your disease and the steps you can take to improve your self management

CDM Prevention Programme

Adults aged 45+ with a medical card, a GP visit card or a Health Amendment Act card at high risk of cardiovascular disease or diabetes are eligible to be registered for the CDM Prevention Programme . Adults aged 18+ with a medical card, a GP visit card or a Health Amendment Act card and diagnosed with hypertension are also eligible. Any adult (private or GMS) aged 18+ with gestational diabetes or pre-eclampsia diagnosed since January 1, 2023 can also be enrolled.

The programme is free and includes one set review in every 12-month period. Each review includes one visit with the practice nurse followed by a visit with your GP. You may see both during the same visit or at different times. Your GP or practice nurse will give you advice on lifestyle changes that will help you manage your risk factors. They will also refer you to support services if you need them. Your review will include tests such as blood tests. There is no charge to you for any tests that are part of your Prevention Programme review. You can still visit your GP as normal outside of the scheduled programme reviews. When you have your review, you can work with your GP to set your own goals. After each review, you will get a written care plan. This care plan will help you learn about your risk factors and the steps you can take to improve your self management.