In the final part of our Monitoring matters series, Callum Metcalfe-O’Shea, advanced nurse practitioner and UK professional lead for long-term conditions with the Royal College of Nursing (RCN), discusses lipid management. Again, the term long-term conditions covers type 2 diabetes, asthma/chronic obstructive pulmonary disease (COPD), autoimmune rheumatic diseases and inflammatory bowel diseases  (Crohn’s/colitis). Lipid management is ever evolving with new and emerging treatments available, and many both positive and difficult conversations often occur between general practice nurses (GPNs) and patients around this clinical issue. This article defines lipid management in the context of long-term conditions, highlighting assessment tools alongside treatments to help GPNs identify the
evidence needed to have discussions with patients around lipid management. Treatment options will be considered, but application to local formulary and policy is required.