Chronic Disease Management

As part of our commitment to the health of our local community, we can provide chronic disease management plans to patients who suffer from a chronic medical condition.

What is a chronic condition?

A chronic medical condition is one that has been present or likely to be present for at least six months or longer. For example:

  • Asthma
  • Cancer
  • Heart disease
  • Diabetes
  • Arthritis
  • Osteoporosis

GP Management Plans (GPMP)

GP Management Plans (GPMP) are designed for patients with chronic conditions that require ongoing care and a structured approach.

This plan:

  • identifies your health and care needs;
  • sets out the services to be provided by your GP; and
  • lists the actions you can take to help manage your condition.

Your GP will determine if a plan is appropriate for you.

Team Care Arrangements (TCA)

Team Care Arrangements (TCA) facilitates collaboration between your health care providers or allied health professionals along with you to optimise your care.

Your GP will determine if you would benefit from a TCA. Persons with a GPMP and TCA are eligible for 5 Medicare rebatable allied health visit per calendar year.

What is an allied health professional?

Allied health professionals can include:

  • dietitian
  • diabetes educator
  • podiatrist
  • exercise physiologist
  • physiotherapist
  • occupational therapist
  • audiologist

How much does it cost to develop a GPMP and TCA?

We offer GP Management Plans and Team Care Arrangements to all eligible patients who suffer from a chronic illness at little or no cost to you.

Regular reviews

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.


Please book an appointment with your GP first to determine your eligibility. If eligible, an appointment can be made with the Practice Nurse who will support the GP to complete the care plan.

Book an appointment now