Chronic disease management

Joined-up care for long-term conditions.

Living well with a chronic condition is a team effort. We build clear, evidence-based plans and review them with you regularly.

Many long-term conditions are best managed with a planned, proactive approach — regular reviews, the right investigations, and coordination with allied health and specialists. We build GP Management Plans and Team Care Arrangements so that everyone involved is working from the same playbook.

What we can help with

  • Type 1 and type 2 diabetes
  • High blood pressure
  • Heart disease and AF
  • Asthma and COPD
  • Thyroid disorders
  • Osteoarthritis and chronic pain
  • Kidney disease
  • Mental health conditions

GP Management Plan

A clear written plan setting out your goals, the team supporting you, and what is being monitored.

Team Care Arrangement

Coordinated allied health referrals — Medicare may subsidise up to five visits per calendar year for eligible patients.

Regular reviews

Scheduled check-ins so problems are caught early and your plan stays current.

Evidence-based care

We follow current Australian guidelines while tailoring advice to your priorities and circumstances.