A chronic medical condition is one that has persisted for at least six months or longer. Examples include:
- Asthma
- Cancer
- Cardiovascular disease
- Diabetes
- Musculoskeletal conditions
- Stroke
Chronic Disease Management Plans
A GP Management Plan (GPMP) provides an organized approach to managing chronic conditions. It involves:
- Identifying your health and care needs
- Setting out the services provided by your doctor
- Listing the actions you can take to manage your condition
Team Care Arrangements
For patients with chronic conditions and complex care needs, your doctor may develop Team Care Arrangements (TCAs). These arrangements:
- Coordinate care with at least two other health or care providers
- Facilitate ongoing treatment and services
Care Plan Reviews
Regular reviews of your care plan are crucial. During these reviews:
- Your doctor, practice nurse, and you check if your goals are being met
- Adjustments to the plan are made as necessary
Care plans are available to all eligible patients at little or no cost. To determine eligibility:
- Book an appointment with your doctor
- Practice nurse will provide support and monitoring between visits
Contact Us
If you have any questions, please call us at 8390-9500.