Chronic Disease Management

Chronic Disease Management
Doctors / Nursing Staff specialising in this area:

Dr. John McManus


As well as over fifty years experience in general practice, Dr. John McManus is one of the co-founding members of the Carlton Clinic.

His interests include medicine for the elderly, joint injections, and addiction, as well as ongoing medical education and the philosophy of medicines.

Dr. McManus has four children, nine grandchildren and three great-grandchildren. His interests include fishing, walking and reading history, current affairs and philosophy.

Dr. Geraldine Holland


Dr. Geraldine Holland grew up in Shankill and graduated from Trinity College, Dublin in 1986. She started working at Carlton Clinic in 1990 and became a Partner in 1995.

While Geraldine enjoys all aspects of General Practice, over the years she has developed a special interest and a broad skill base in all areas of Women's Health. In particular, Geraldine has a special interest in longer lasting contraception (coils, injections and implants) and the management of period problems across all age groups. She helped set-up the GP led Mirena Clinics at the National Maternity and Rotunda hospitals. Geraldine is happy to accept referrals from local GPs to provide prompt treatment and avoid hospital referral if possible.

Geraldine is a former Assistant National Director of the ICGP (Irish College of General Practitioners) Women's Health Program, and a current Family Planning Tutor and LARC Tutor at ICGP. Geraldine has a keen interest in Teenage Health, Palliative Care and Asthma management.

Geraldine is mum to four daughters. She enjoys reading, walking and singing in her spare time.

Dr. Melanie Piercy


Dr Melanie Piercy graduated from Bristol University Medical School in 1994. She completed her GP training with St George’s Hospital, London and subsequently moved to Ireland. Dr. Piercy joined the Carlton Clinic in 2005. Like her colleagues Melanie enjoys all aspects of family medicine but with a special interest in dermatology.

She is involved with the training of medical students within the practice.

Qualifications: MB ChB, DRCOG, DFFP, MRCGP, DPD.


Dr. Mairead Cassidy


Dr Mairead Cassidy graduated from University College Galway in 1999. She completed her GP training with with Royal College of Surgeons in Dublin in 2006 and was also the highest achieving candidate in GP exams that year. She has worked in Ireland, the UK and Australia. 

She enjoys all aspects of General Practice & has a special interests in women's health, young people's and adolescent health - including contraception and sexual health screening, travel medicine and childhood development & illnesses. Over the years she has developed a special interest in palliative care and alongside her GP work also works in LauraLynn Childrens Hospice and disability service. 

Qualifications: MB BCh BAO, MICGP, Dip Child health,  Dip Paediatric Palliative care 

In her spare time she enjoys running, walking the dog and music.

Dr. Eoin Spillane


Dr Eoin Spillane graduated from Royal College of Surgeons in 1997. He joined the Carlton Clinic in 2008. He has special interest in dermatology and men's health, particularly sexual health / STI screenings. Dr Spillane also manages a weekly Minor Surgery clinic removing skin lesions such as moles, warts, skin cysts and lumps, and ingrown toenails. Cryotherapy treatment for warts, verrucas and sun damaged skin is also offered.

Qualifications: MB, BCh, BAO, LRCP & SI, AFRCSI, MRCGP, DPD.

Dr. David Coffey


Dr. David Coffey joined Carlton Clinic in 2011 and is now a GP Partner at the Practice. Dr. Coffey attended university in Dublin and trained as a GP in Scotland and England in the late 1990's. In addiition to working in Australia and New Zealand, Dr. Coffey also worked in Afghanistan for 9 months looking after patients with infectious diseases in Kandahar in the south of the country. His special interests include men's health, children's health and mindfulness.

In his spare time, Dr. Coffey is a keen cyclist and cross-country runner. Carlton Clinic is delighted to have Dr. Coffey in the role of managing partner of the Carlton Clinic in 2023.

Dr. Dara Owens


Dr Owens joined the Carlton Clinic in June 2016. He has a special interest in headaches and is part of the migraine team in St Vincent's University Hospital. Dr Owens has proven himself very popular with patients young and old and is a great addition to the team here at Carlton Clinic.

Dr. Lisa Devine


Dr Lisa Devine initially trained in hospital medicine, gaining her Membership of the Royal College of Physicians of Ireland before realising that her vocation lay in general practice. She trained as a GP and gained her Membership of the Irish College of General Practitioners of Ireland. She has postgraduate qualifications in palliative care, paediatrics, musculoskeletal medicine and diabetes, which has become her primary special interest. She enjoys representing the Irish General Practice point of view on regional and national diabetes and chronic disease management committees, in Ireland and internationally. She enjoys contributing to medical education via teaching in the practice, chairing and speaking at local and national conferences, and through tutoring and organisational roles on postgraduate educational programs. She writes a monthly Column for GPnotebook.

The HSE has established an Integrated Care Programme for the Prevention and Management of Chronic Disease. This programme aims to provide better care to people over the age of 18 with chronic diseases. This will be achieved by providing a continuum of preventative, management and support services to patient with these conditions.  This is built on an approach which helps people understand and care for their own condition in collaboration with their General Practitioner and the general practice team.

Approximately 1 million people in Ireland today suffer from Diabetes, Asthma, Chronic Obstructive Pulmonary Disease (COPD) or Cardiovascular disease. Many people depend on hospital out-patient services for management of their chronic diseases, which results in delays in appointments for all patients and they may experience gaps in their care as services are stretched. We need a better way of caring for people with these diseases, and we need to do more to prevent them.

The Structured Chronic Disease Management (CDM) Programme aims to prevent and manage patient chronic diseases using a population-approach. This programme is for patients over the age of 18 who have a medical card or GP visit card and have a diagnosis of one or more of the listed conditions below.

  • Type 2 diabetes
  • Asthma
  • Chronic obstructive pulmonary disease (COPD)
  • Cardiovascular disease, including heart failure, heart attack (angina), stroke and irregular heartbeat (atrial fibrillation)

The programme includes easy access to diagnostics and specialist supports in the community and includes a close co-ordination with hospital services so that people can receive the care they need, when they need it and in the most appropriate way for their circumstances; be it at home, in the community or in hospital.

We are currently inviting patients to join this program. For more information take a look at the HSE patient booklet by following this link.