Medical emergency? Call 155 or 112 immediately. Do not book an online consultation for emergencies.
If you are experiencing symptoms of a hypertensive crisis, diabetic emergency, or acute cardiac event — call 112 immediately.
Managing a long-term condition — hypertension, diabetes, thyroid disease, asthma, or any other chronic condition — requires more than an annual review and a prescription renewal. It requires a doctor who understands your case, monitors your progress, adjusts your management when things change, and helps you navigate the broader healthcare system when specialist input is needed.
For expats and international residents in Czech Republic, this level of ongoing care is difficult to access in English. Most English-speaking clinics in Prague are not set up for the kind of continuous GP-patient relationship that effective chronic disease management requires. Global Health provides ongoing GP-level chronic disease management by secure video call in English — the same clinical continuity that should be the foundation of your long-term care, without the language barrier.
Chronic Disease Management vs Treatment Renewal — Understanding the Difference
Global Health offers two separate services for patients with long-term conditions:
- Treatment Renewal is a single-consultation service for stable, established conditions — your condition has not changed, your treatment is working, and you need your prescription renewed. One consultation, clear outcome, done.
- Chronic Disease Management is ongoing GP-level care for patients who want a doctor involved in their long-term health — monitoring their condition over time, adjusting management when needed, coordinating investigations and specialist referrals, and providing the continuity that makes long-term condition management effective rather than reactive.
If you are stable and just need a prescription renewed — Treatment Renewal is the right service. If you want a doctor who knows your case and is involved in managing it over time — Chronic Disease Management is appropriate.
Who This Service Is For
This service is appropriate for adults with:
- A diagnosed chronic condition who want ongoing GP-level management in English
- A long-term condition that is not well controlled and needs active clinical review
- Multiple co-existing conditions — for example diabetes with hypertension and dyslipidaemia — that require coordinated management
- A chronic condition recently diagnosed in Czech Republic that they want explained and managed in English
- A long-term condition managed in another country that they want to continue managing now that they are living in Czech Republic
- A need for ongoing investigation monitoring — regular blood tests, HbA1c monitoring, thyroid function tracking — coordinated through a GP who knows their case
- A chronic condition where lifestyle optimisation alongside medication management would improve outcomes
Conditions Commonly Managed
Cardiovascular
- Hypertension — ongoing blood pressure monitoring, medication review, lifestyle optimisation, and cardiovascular risk management
- Dyslipidaemia — cholesterol management, lipid monitoring, and cardiovascular risk assessment
- Heart failure — stable, community-managed heart failure at GP level, with cardiology referral coordination where needed
- Atrial fibrillation — stable AF managed at GP level, with anticoagulation management and cardiology liaison where needed
- Post-cardiac event management — ongoing GP-level care following heart attack or cardiac procedure
Metabolic
- Type 2 diabetes — HbA1c monitoring, medication review, lifestyle support, diabetes complication screening coordination, and specialist referral where needed
- Pre-diabetes — structured lifestyle intervention and metabolic monitoring
- Thyroid disease — hypothyroidism and hyperthyroidism management, TSH monitoring, medication adjustment
- Metabolic syndrome — integrated management of metabolic risk factors
- Obesity as a chronic condition — metabolic management alongside weight management support
Respiratory
- Asthma — inhaler review, symptom control assessment, action plan development, and specialist referral where needed
- COPD — ongoing management, exacerbation prevention, and pulmonology coordination where needed
Musculoskeletal and Inflammatory
- Osteoarthritis — ongoing pain management, functional assessment, and referral coordination
- Stable inflammatory arthritis managed at GP level — with rheumatology coordination where needed
- Gout — uric acid monitoring and ongoing management
- Osteoporosis — DEXA coordination, fracture risk assessment, and ongoing management
Mental Health — Long-Term Management at GP Level
- Depression and anxiety — ongoing management of stable conditions at GP level
- ADHD — ongoing support for patients with established diagnosis at GP level
- Sleep disorders — ongoing assessment and management
Gastrointestinal
- GORD and peptic ulcer disease — ongoing management and monitoring
- Irritable bowel syndrome — ongoing management and lifestyle support
- Inflammatory bowel disease — stable, community-managed IBD at GP level with gastroenterology coordination
Other
- Chronic kidney disease — GP-level monitoring and management, with nephrology coordination
- Anaemia — ongoing management and monitoring of the underlying cause
- Chronic skin conditions — psoriasis, eczema, and rosacea managed at GP level
- Autoimmune conditions — stable, community-managed presentations at GP level
What Ongoing Management Includes
- Regular clinical reviews — Your doctor conducts structured clinical reviews at appropriate intervals for your condition — assessing symptom control, treatment response, side effects, any new developments, and overall wellbeing. The frequency is determined by your condition and clinical need.
- Monitoring coordination — Your doctor issues investigation requests for regular monitoring — blood tests, HbA1c, thyroid function, lipid panels, renal function, and other condition-specific investigations — and reviews results with you in a follow-up consultation.
- Medication management — Your doctor reviews your medication at each clinical review — assessing efficacy, tolerability, and whether adjustment is needed based on current clinical findings and monitoring results.
- Lifestyle and self-management support — Evidence-based advice on diet, physical activity, weight management, smoking cessation, and alcohol moderation — tailored to your specific condition and how lifestyle factors interact with your clinical management.
- Specialist liaison and referral — When specialist input is needed — cardiology, endocrinology, pulmonology, rheumatology, gastroenterology, or other specialties — your doctor coordinates the referral, provides a comprehensive referral letter, and maintains the clinical relationship as your GP during and after specialist involvement.
- eRecept — where clinically appropriate — When clinically indicated at each review, your doctor issues eRecept electronically. You receive the code and present it at any pharmacy of your choice in Czech Republic.
- Clinical continuity — Because your doctor knows your case over time, clinical decisions are made in the context of your full history — not just the presenting complaint in a single consultation.
Chronic Disease Management Without a Registered Czech GP
Czech Republic's public health system provides excellent chronic disease management through registered GPs — but only for patients who are registered. For expats who have not yet registered, or who prefer to manage their care in English, or who are between registrations, access to structured chronic disease management is a genuine gap.
Global Health provides this care in English. Your consultations are documented, your monitoring is coordinated, and your management is structured — giving you the clinical continuity that chronic disease management requires, in a language you can fully understand and engage with.
If you are in Czech Republic long-term and eligible for the public health system, we encourage you to register with a Czech GP or paediatrician for routine care. Global Health works alongside — not instead of — the public system. Some patients use Global Health for English-language chronic disease management while also maintaining registration with a Czech GP for public system access and specialist referrals within the Czech system.
Frequently Asked Questions
How is this different from a one-off treatment renewal consultation?
Treatment Renewal is a single consultation for a stable condition — renewing a prescription that is working well. Chronic Disease Management is ongoing care — a doctor who knows your case over time, monitors your condition, adjusts management when needed, and is involved in your long-term health. If your condition is genuinely stable and you just need a prescription renewed, Treatment Renewal is appropriate. If you want ongoing clinical involvement, Chronic Disease Management is the right service.
How often will I need to consult?
It depends on your condition and how well controlled it is. For stable, well-controlled conditions a quarterly or six-monthly review is typically appropriate. For less well-controlled or more complex conditions, more frequent review is needed. Your doctor advises on the appropriate review schedule at your first consultation.
Can the doctor access my Czech medical records?
No. Global Health doctors do not have access to the Czech electronic health record system. Please bring any relevant medical documentation — previous blood test results, specialist letters, imaging reports, and a list of your current medications — to your first consultation. Your doctor builds their clinical picture from the information you provide and from ongoing monitoring coordinated through Global Health.
What if I need a specialist?
When specialist input is needed, your doctor issues a formal referral letter and advises on accessing the appropriate specialist privately in Czech Republic. Private specialist access is generally straightforward in Czech Republic — Global Health coordinates this as part of ongoing chronic disease management.
Can I use this service if I have a Czech GP?
Yes. Some patients use Global Health for English-language chronic disease consultations alongside their Czech GP registration — particularly for conditions where they want to discuss management in detail in English. Your doctor is aware of and respectful of your existing Czech GP relationship.
What happens if I need emergency care for my chronic condition?
Emergency management of chronic conditions — hypertensive crisis, diabetic emergency, acute cardiac event — requires immediate emergency care. Call 112 or go to the nearest emergency department immediately. Your ongoing management through Global Health is for non-emergency chronic disease care.
Chronic disease management consultations are conducted at GP level by doctors registered with the Czech Medical Chamber (ČLK), in accordance with Czech telemedicine regulations under Act No. 372/2011 Coll. and Decree No. 30/2025 Coll. Global Health doctors do not have access to the Czech electronic health record system — patients should bring relevant medical documentation to consultations. Clinical recommendations, investigation requests, medication management, and referrals are issued solely at the doctor's professional discretion following full assessment. This service provides GP-level chronic disease management — it does not replace specialist care where specialist input is clinically indicated. Emergency presentations of chronic conditions require immediate emergency care — call 112 immediately. This service is not suitable for medical emergencies — call 155 or 112 immediately.
