Chronic disease carethat runs to a plan.

Needing it more than a couple of times a week, or more than you did last year, usually means the preventer plan needs revisiting.

Night symptoms are one of the clearest signs that asthma is not as controlled as it looks during the day.

Breathlessness doing something you managed easily last year is worth investigating rather than accepting.

Two or more in a year, or one that takes weeks to clear, is a reason to look at your lungs properly.

Drinking more and passing urine more, especially overnight, is a classic sign that sugar levels have crept up.

Persistent fatigue is easy to attribute to age or work. It is also one of the commonest signs of poor control.

Especially on the feet. Any wound below the ankle in someone with diabetes deserves prompt attention.

Usually starting in the toes or fingers. Worth reporting early rather than once it is established.

Shoes feeling tight at the end of the day, or socks leaving deep marks, is worth a check.

Needing more pillows than you used to, or waking short of breath, should be assessed.

An ECG takes minutes and is done here, with your doctor reading it during the same visit.

Pain that comes on at a predictable distance and settles with rest is worth mentioning.

Quietly dropping an activity because it has become hard is often the first real sign, and the easiest to miss.

Side effects, cost or simply forgetting. Tell us — a plan built on medicines you are not taking helps nobody.

Living with a long-term condition takes a toll. Low mood makes every other part harder to manage, and it is treatable.

Named clearly, along with anything else that interacts with it. Most people have more than one thing going on.

Specific and yours, not generic. Walking to the shops without stopping is a better goal than a number on a page.

Your GP, our nurses, any specialists, and the allied health people the plan gives you access to.

Medicines, monitoring, what to do if things flare, and the point at which you should ring us.

Booked in rather than left to chance. Reviews are where a plan earns its keep.

You leave with it. A plan you have never seen is not a plan you can follow.

Monitoring, medication review, foot and eye checks, and coordination with the specialists and educators involved.

The most common long-term condition there is, and one of the most rewarding to get right. Usually symptomless until it is not.

Ongoing management after a heart event, or risk reduction before one. ECG on site, with results read in the same visit.

A written action plan, inhaler technique checked in the room, and spirometry here rather than referred away.

Breathing tests, flare-up plans, vaccination, and support with smoking if you want it. Relevant to a lot of people around here.

Regular blood and urine monitoring, medication adjustment, and referral when it is warranted.

Function first — what you want to be able to do — with medication as one part of a broader plan.

Straightforward to monitor with regular blood tests and dose adjustment.

Long-term physical illness and low mood travel together often. Both belong in the same plan.