📞 0208 574 5136  |  Mon–Fri 08:00–18:30 NHS GP Practice · West London
S SALUJA CLINIC SALUJA CLINIC
Home Clinics & Services Managing Chronic Diseases

Managing
Chronic Diseases

Specialist long-term condition care, right here in West London. Our dedicated clinics provide expert monitoring, personalised care plans and ongoing support for patients living with chronic conditions.

4
Specialist Clinics
Annual
Patient Reviews
1976
Serving West London
Appointments
Book online or call
Heart Disease
CHD & cardiac care
Diabetes
Annual review & care
Hypertension
Blood pressure clinic
Respiratory
Asthma & COPD

We offer a range of specialist clinics at Saluja Clinic to help patients manage and live well with long-term chronic conditions. Our experienced team provides regular reviews, personalised care plans, and access to specialist support — all within our West London practice.

Cardiovascular
Chronic Heart Disease

Coronary heart disease (CHD) occurs when the coronary arteries become narrowed by a build-up of fatty material within their walls. The most common symptoms are chest pains (angina) and heart attack — though in some cases, people may not show any symptoms before diagnosis.

Angina

If your coronary arteries become partially blocked, it can cause chest pain known as angina. This can be a mild, uncomfortable feeling similar to indigestion, but a severe attack causes a painful feeling of heaviness or tightness in the centre of the chest, which may spread to the arms, neck, jaw, back or stomach. Attacks are often triggered by physical activity or stress and typically pass within 10 minutes.

Heart Attacks

If your arteries become completely blocked, this can cause a heart attack (myocardial infarction), which can cause permanent damage to the heart muscle. The discomfort is usually similar to angina but more severe. Unlike angina, symptoms of a heart attack are not usually relieved by a nitrate tablet or spray.

🚨 If you think you may be having a heart attack, dial 999 immediately. If chest pains last longer than 15 minutes, do not wait — call for emergency assistance right away.
Chest tightness or pain
Sweating
Breathlessness
Nausea
Light-headedness
Arm or jaw pain

Heart Failure

Heart failure can occur in people with CHD when the heart becomes too weak to pump blood around the body efficiently, causing fluid to build up in the lungs and making breathing increasingly difficult. This can happen suddenly (acute) or gradually over time (chronic).

Our Cardiac Care

Our practice provides ongoing monitoring and management for patients with diagnosed coronary heart disease, including:

  • Regular blood pressure monitoring
  • Cholesterol and lipid management
  • Medication reviews
  • Lifestyle and dietary guidance
  • Referral to cardiology specialists
Useful Links

Further information from trusted sources:

Endocrine
Diabetes Management

Diabetes is a long-term condition caused by too much glucose (sugar) in the blood. Normally, the amount of glucose is controlled by a hormone called insulin, produced by the pancreas. In people with diabetes, the body is unable to break down glucose into energy — either because there is not enough insulin, or because the insulin that is produced does not work properly.

Type 1 Diabetes

Type 1 diabetes is an autoimmune condition where the pancreas produces little or no insulin. It typically develops in childhood or early adulthood and requires daily insulin therapy to manage blood glucose levels.

Type 2 Diabetes

Type 2 diabetes is the most common form, where the body doesn't use insulin effectively. It can often be managed through lifestyle changes, oral medication, and in some cases insulin. Our specialist diabetes team will provide you with ongoing support, regular reviews and day-to-day care.

🗓 Annual Diabetic Review

All diabetic patients are entitled to an annual review. The practice will normally contact you when yours is due. The review takes place in two parts: a data collection appointment (including blood pressure, weight, urine and foot checks) followed by a face-to-face or telephone appointment with a diabetic specialist nurse to discuss results and issue a care plan. If you feel you've been missed, please contact us.

What to Bring

At your annual diabetes review, please remember to bring:

  • Early morning urine sample
  • Your current medications list
  • Blood glucose monitor (if applicable)
  • Footwear you wear regularly
Cardiovascular
Hypertension & Blood Pressure

Hypertension is the medical term for high blood pressure — a reading consistently above 140/90 mmHg. It is one of the most common chronic conditions seen in general practice and a major risk factor for developing serious cardiovascular disease.

High blood pressure often causes no symptoms or immediate problems, which is why it is sometimes called "the silent killer". Many people are unaware they have it until it is picked up during a routine check. However, if left unmanaged, hypertension significantly increases the risk of:

Stroke
Heart attack
Heart failure
Kidney disease
Vascular dementia
Peripheral artery disease

At Saluja Clinic, we offer regular blood pressure checks, lifestyle advice, and medication management to help keep your blood pressure within a safe range. If your blood pressure is found to be elevated during a routine appointment, we will follow up with monitoring and a care plan tailored to your needs.

Understanding Readings

Blood pressure is measured in two numbers:

  • Systolic – pressure when heart beats
  • Diastolic – pressure between beats
  • Ideal: below 120/80 mmHg
  • High: consistently above 140/90 mmHg
Pulmonary
Respiratory Conditions

Our respiratory clinics are primarily intended for patients with Asthma and COPD (Chronic Obstructive Pulmonary Disease). Both conditions affect the airways and lungs, but require different management approaches.

Asthma

Asthma is caused by inflammation of the airways — the small tubes (bronchi) which carry air in and out of the lungs. If you have asthma, the bronchi will be inflamed and more sensitive than normal, causing episodes of breathing difficulty, wheezing, chest tightness and coughing. Our practice nurses hold specialist asthma qualifications and conduct regular clinics to monitor your overall condition, offer advice and ensure your treatment is effective.

COPD

Chronic obstructive pulmonary disease (COPD) is the name for a collection of lung conditions including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD experience airflow obstruction — making it difficult to breathe in and out. This is usually caused by long-term damage to the lungs, most commonly from smoking.

🫁 Asthma & COPD Clinics

We hold dedicated clinics for the diagnosis and ongoing management of asthma and COPD. We aim to see all patients diagnosed with these conditions at least once a year — and more frequently where your condition requires it. Depending on the severity of your condition, we may invite you to attend more often to ensure we give you the care you need.

Clinic Appointments

At your respiratory clinic review, we will:

  • Assess your symptoms and triggers
  • Review your inhaler technique
  • Perform peak flow or spirometry tests
  • Update your action plan
  • Review and adjust medications

Ready for Your Review?

If you have a chronic condition and haven't had a review recently, or if you're concerned about any new symptoms, please get in touch. Our team is here to help.

Manage Your Condition
With the NHS App

For patients with long-term conditions, the NHS App makes it easy to stay on top of your health between appointments.

Book and manage GP appointments online
Request repeat prescriptions instantly
View your medical records and test results
Track your health data over time
Message healthcare services securely
Non-Emergency
NHS 111

Available 24 hours a day, 365 days a year — free from all landlines and mobile phones. For urgent medical advice when your GP is closed.

Life-Threatening Emergency
999

Dial 999 immediately for chest pain, breathing difficulties, loss of consciousness, severe bleeding, or any life-threatening condition.