CHRONIC DISEASE MANAGEMENT

Chronic disease management plans form part of the commitment our staff give to the community.

Chronic disease management plans are available for patients that a medical condition has been present for at least 6 months, these can include conditions such as:

• Asthma
• Cancer
• Diabetes
• Cardiovascular disease
• Stroke

GP management plans (GPMP) can help people with chronic health conditions by providing an organized care approach that both you and your GP have agreed on.

Team care arrangements (TCA) are also available to people that’s care requires a multidisciplinary care. These help to affectively coordinate the care needed by your GP and other providers.

Once plans are in place, we offer regular GP reviews to ensure that your plan is still the correct plan for the care that you need

• GP management plans
• Team care arrangements
• EPC items
• 6 monthly diabetes checks
• Warfarin
• INR treatment
• Pain management
• DVA CVC plans