Chronic disease management forms part of our commitment to the health of our local community. Our doctors work together with our patients that suffer chronic ailments to decrease the complications and improve their health outcomes by closely monitoring their disease process.

A chronic medical condition is one that has been present for at least six months or longer, such as:

Chronic disease management plans are designed by general practitioners for patients who have complex conditions that require ongoing care, and a structured approach.

A GPMP is a plan of action you have agreed with your GP. This plan:

If you have a chronic medical condition and complex care needs requiring multidisciplinary care, your GP may also develop Team Care Arrangements (TCAs). Persons with a GP Management plan and Team Care Arrangement are eligible for 5 visits per calendar year to see allied health professionals like a physiotherapist, dietitian, podiatrist, audiologist, diabetes nurse, occupational therapist, pharmacist, asthma nurse or exercise physiologist.

Once a plan is in place, it should be regularly reviewed by your GP. This is an important part of the planning cycle, where you and your GP check that your goals are being met and agree on any changes that might be needed.

We offer care plans to all eligible patients who suffer from a chronic illness at no cost to the patient.

We offer Health Assessments to all eligible patients in age groups 45-49 and over 75 at no cost to the patient.