CHRONIC DISEASE MANAGEMENT
We can support you in managing long-term health conditions with coordinated, personalised care. A chronic condition is any illness that lasts six months or more, such as:
• Asthma
• Diabetes
• Cardiovascular disease
• Stroke
• Cancer
• Chronic pain
If you have a long-term medical condition, our GP's can work with you to develop a GP Management Plan (GPMP) that outlines your treatment goals, regular reviews, and any necessary support services.
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For patients who require support from multiple health professionals, we can also create Team Care Arrangements (TCA) to help coordinate your care between your GP and specialists such as physiotherapists, podiatrists, or dietitians.
Our chronic disease services include:
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• GP management plans (GPMP)
• Team care arrangements (TCA)
• Enhanced Primary Care (EPC) referrals
• Diabetes checks (every 6 months)
• INR testing and warfarin monitoring
• Pain management
• DVA CVC care plans
Book an appointment today or call one of our friendly staff to discuss how we can support your long-term health.



