CHRONIC DISEASE MANAGEMENT

Chronic medical conditions

A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, heart disease, diabetes, arthritis and stroke.

GP Management Plan

A GP Management Plan (GPMP) can help people with chronic medical conditions by providing an organised approach to care. A GPMP is a plan of action you have agreed with your Doctor. This plan:

  • identifies your health and care needs;

  • sets out the services to be provided by your Doctor; and

  • lists the actions you can take to help manage your condition
     

Team Care Arrangements

If you have a chronic medical condition and complex care needs requiring multidisciplinary care, your Doctor may also develop Team Care Arrangements (TCAs).  These will help coordinate more effectively the care you need from your Doctor and other health or care providers.

TCAs require your GP to collaborate with at least two other health or care providers who will give ongoing treatment or services to you. Let your Doctor or Nurse know if there are aspects of your care that you do not want discussed with other health care providers.

Review of GPMPs and TCAs

Once a plan is in place, it will be regularly reviewed by your Doctor. This is an important part of the planning cycle, where you and your Doctor check that your goals are being met and agree on any changes that might be needed.

Referrals for allied health services

If you have both a GPMP and TCAs prepared for you by your Doctor, you may be eligible for Medicare rebates for specific individual allied health services that your Doctor has identified as part of your care. T

The need for these services must be directly related to your chronic (or terminal) medical condition. If you have type 2 diabetes and your Doctor has prepared a GPMP, you can also be referred for certain allied health services provided in a group setting.

Remember if you are experiencing any symptoms that you are concerned about please give us a call,

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OPENING HOURS

Monday - Friday 8am to 5pm

Saturday 8:30am to 12:30pm

Sunday & Public Holidays - Closed