Management of chronic and complex diseases

Staying Healthy

Staying healthy is important for all of us. However, it requires regular attention to reinforce our good behaviours and give us a nudge to focus on some of the enjoyable but often not so healthy ones.

Keeping on top of blood pressure, diabetes, heart disease risk factors and asthma reduces the long-term complications and prolongs good health. Setting some goals and then making small changes more often makes it easier to get where you want to be. We can help you choose your goals, monitor regularly  to identify changes in the right or wrong direction early and provide feedback about how you are doing and advise on changes to our approach. All of this can optimize your health outcomes.

Chronic and Complex Conditions – Accessing GP Management Plans and Team Care Arrangements.

Patients with chronic or complex conditions usually benefit from a structured approach to their care. This often requires a multi-disciplinary team to deliver the necessary care. Our doctors and practice nurse work as a team with other health professionals to provide holistic care. Our practice nurse provides valuable assistance by helping with the ongoing monitoring and facilitating access to the allied health services that patients need. Having a relationship with one practice means your records are all in one place and makes this easier for you to coordinate.

Patients with a chronic condition may benefit from a GP Management Plan (GPMP). Team Care Arrangements (TCA) are for those patients who have complex care needs which require treatment from two or more health care providers in addition to your GP. These were formally call Enhanced Primary Care (EPC) services.

Having a TCA allows patients to access Medicare benefits for certain allied health providers – most typically:

  • dieticians
  • physiotherapists
  • podiatrists
  • exercise physiologists
  • psychologists
  • audiologists
  • diabetic educators

Visit the Department of Health’s information page for more detailed information.

If you would like a GP Management Plan (GPMP) and Team Care Arrangement (TCA) book an appointment at the practice. Please let the receptionist know you wish a GPMP and TCA at the time of  booking. This helps our practice nurse to start gathering the information for preparing the plan and to schedule the appropriate appointment length. Appointments for a new plan are billed direct to Medicare.