Chronic Disease Management Plans

This service is coordinated by a full time care coordinator nurse.

The role includes the identification, clinical management, recall and ongoing support of patients who require chronic disease management. A team care plan (TCA) will be developed and shared with the relevant specialist service.

A care plan also support patients with access to services such as:

  • Podiatry
  • Diabetes educator
  • Chiropractor
  • Physiotherapy
  • Dietician

Medicare will cover the full cost of the first 5 visits in total.

Your doctor will be able to discuss your eligibility for a Care Plan and referral for allied health appointments under the Enhanced Primary Care arrangements. Our Care Co-ordinator is able to answer any questions or concerns you may have.