Long-term Condition Management | Ashtons Virtual Hub

Supporting Long-Term Conditions Through the Ashtons Virtual Hub

Transforming Long-Term Condition Care Across Primary Care

Long-term condition management is one of the greatest challenges in modern healthcare.

The Ashtons Virtual Hub provides flexible, pharmacist-led long-term condition management support to help practices and Primary Care Networks manage these pathways more efficiently.

Through remote clinical reviews, medication optimisation and seamless integration with EMIS, SystmOne and Docman, we enhance patient outcomes, reduce workload, and ensure every intervention aligns with national guidance and local priorities.

General Practitioner using Ashtons Virtual Hub to manage long-term conditions

How the Ashtons Virtual Hub Supports Long-Term Condition Management

The Ashtons Virtual Hub provides comprehensive, pharmacist-led support to help practices manage patients with long-term conditions safely and efficiently. Our approach combines clinical expertise, digital integration and local collaboration to ensure patients receive consistent, evidence-based care.

We work alongside Primary Care Networks, GP practices and Integrated Care Systems to deliver high-quality reviews, data-driven insights and measurable improvements in patient outcomes.

Our key areas of support include:

➜ Structured medication reviews and long-term condition monitoring

➜ Prescription reconciliation and repeat prescribing support

➜ Deprescribing and polypharmacy reduction

➜ Clinical audits and compliance reporting


➜ Optimisation against QOF and IIF targets

➜ Extended access and remote clinical capacity

➜ Seamless integration with EMIS, SystmOne and Docman

Conditions We Support

The Ashtons Virtual Hub provides tailored clinical support across a wide range of long-term conditions. Our pharmacists work alongside GPs and practice teams to optimise treatment, improve monitoring, and enhance patient safety. Each pathway can be adapted to local priorities, national guidance and QOF requirements.

Diabetes Management via Ashtons Virtual Hub

We deliver structured diabetes reviews, medication optimisation and ongoing monitoring to improve control and reduce complications. Our pharmacists support practices in managing insulin, SGLT2 and GLP-1 therapies safely and effectively.

Learn more about Medicines Optimisation ›

Asthma and COPD Management

Our team conducts inhaler technique reviews, monitors adherence and supports therapy optimisation in line with NICE guidance. We help reduce exacerbations and improve respiratory outcomes across asthma and COPD cohorts.

Heart Failure and Cardiovascular Conditions

We provide regular reviews, medication titration support and monitoring of heart failure patients, helping practices meet QOF targets and improve stability. Our team tracks blood results, weight changes and symptoms through digital systems.

Hypertension and Chronic Kidney Disease

The Virtual Hub assists in blood pressure optimisation and CKD management through structured medication reviews, lab monitoring and adherence checks. We help identify patients requiring therapy escalation or specialist referral.

Neurological Conditions and Pain Management

We provide expert support in the management of Parkinson’s, epilepsy and chronic pain. Our pharmacists review treatment plans, minimise side effects and ensure safe prescribing, including opioid stewardship and deprescribing where appropriate.

Cholesterol Management and Lipid Optimisation

Our pharmacists provide specialist support in cholesterol and lipid management, helping practices identify and optimise high-risk patients. We review statin and non-statin therapies, monitor lipid profiles and address statin intolerance to improve cardiovascular outcomes and compliance with NICE lipid guidance.

Man sitting in GP consultation room holding coffee, awaiting long-term condition review

Why Choose Ashtons Virtual Hub

Partnering with Ashtons gives your organisation access to experienced clinical pharmacists, digital integration expertise and a proven model for improving patient outcomes. The Virtual Hub is designed to enhance local capacity, delivering consistent and measurable results for Primary Care Networks, GP practices and Integrated Care Systems.

Benefits include:

💠 Pharmacist-led support tailored to local priorities

💠 Scalable model aligned with ARRS funding and PCN frameworks

💠 Seamless integration with EMIS, SystmOne and Docman

💠 Proven impact on prescribing quality, compliance and outcomes

💠 Flexible capacity to manage seasonal demand or workforce gaps

💠 Detailed reporting and audit to evidence clinical improvement

Our approach combines clinical insight, digital innovation and partnership working, empowering teams to deliver safer and more efficient care for patients with long-term conditions.

Listen to our podcast on

Managing Heart Failure in Primary Care 🎙️

Ready to Enhance Long-Term Condition Management?

The Ashtons Virtual Hub helps practices and Primary Care Networks deliver safer, more efficient and patient-centred care. Whether you need targeted reviews, extra clinical capacity or complete pathway management, our pharmacists are ready to support your long-term condition objectives.

Partner with a team that understands your pressures and provides flexible, data-driven solutions to improve outcomes for both clinicians and patients.


Get in touch with our team