Chronic Disease Management

Services

Chronic Disease Management

Over half of all Australians live with two or more risk factors for chronic diseases, especially those aged between 45 and 64. These conditions often impact work, daily life, and long-term health. At Clarence Town Healthcare, our independent doctors focus on early detection and consistent care to help manage ongoing health issues.

During your visit, our GPs can create a tailored GP Management Plan (GPMP) and, where needed, a Team Care Arrangement (TCA). These plans support care that is aligned with your individual needs and may also include access to Medicare-supported allied health services.

Our chronic disease management plans for patients:

A GP Management Plan

A documented care plan designed specifically for chronic disease management is created after a visit with our independent GP. During the creation of a chronic disease management plan by a GP, your medical, physical, psychological, and social needs are all taken into account. After implementing a GP Management Plan, it should be reviewed every six months or more frequently if your situation changes significantly. Clarence Town Healthcare will notify you when your plan is about to expire or needs to be renewed.

A Team Care Arrangement

A Team Care Arrangement can be made along with a GP care plan. A Team Care Arrangement is similar to a GP Management Plan; it helps coordinate care by focusing on the factors contributing to any long-term conditions you may have. Through a Team Care Arrangement, Medicare may cover Allied Health visits for eligible patients with chronic conditions. This coordinated approach supports access to Medicare-subsidised allied health services for eligible patients.

Eligibility and Care Planning

If you meet the eligibility criteria, our doctors will arrange a time to assist you in developing your GPMP and TCA, including the necessary Allied Health referrals. The appointment typically takes around 30 minutes, though this may vary depending on individual circumstances. Referrals to Allied Health professionals are arranged as part of the care planning process.

The Key to Better Health

GPMP and TCA consultations are bulk billed for eligible patients with a valid Medicare card, in accordance with Medicare requirements. If you wish to support the management of your chronic condition, your GP can discuss appropriate care planning options with you.

Chronic Disease Management