Chronic Disease Management

Care Plans are an extra service we provide to our patients to give them the optimum care necessary to manage a chronic disease. Patients that have been diagnosed with a chronic health condition that is likely to be present for 6 months or longer are eligible for a care plan.  The most common conditions that can benefit from a care plan are diabetes, asthma, cancer, heart disease, arthritis and mental health conditions.


A care plan is an agreed plan of action between you and your GP.  It will identify your health care needs, sets out the services to be provided by your GP and lists the actions that you need to take. These plans are provided with the assistance of our nursing team working in conjunction with your GP.


There is no out of pocket charge to our patients for this service – all our GP Management plans are bulk-billed to Medicare.


In addition to the care plan, your GP may also put in place a Team Care Arrangement if they feel your condition could benefit from referrals to at least 2 other health professionals who will also provide specific treatment for your condition.  For example, if you are diabetic you may require podiatry on an ongoing basis.


Please speak to your GP or Nurse if you feel you could benefit from this ongoing care.