Chronic Disease Care Plans & Management

About the service

Ongoing Support for Chronic Health Conditions

Living with a chronic condition may involve regular reviews and coordination of care over time. At Southcare Medical Centre, a GP can discuss your health priorities, review your current care and help plan appropriate follow-up.

A care plan may help organise ongoing care with your GP and other health professionals, depending on your needs and eligibility.

When to book

When Should You Book an Appointment?

Book if you have an ongoing health condition and would like to review your care, discuss symptoms or plan your next steps. Contact reception to ask about the appointment type and length that may be suitable.

What happens at your appointment

What to Expect at Your Appointment?

Your GP will discuss your health, current treatment, medicines and goals for care. Together, you can consider whether a chronic disease management plan or other follow-up is appropriate. Your GP may recommend referrals or coordination with other healthcare professionals.

How to prepare

How to Prepare for Your Appointment?

Bring a list of your medicines, relevant test results, specialist letters and details of other health professionals involved in your care. It may help to write down your main questions and what you would like to focus on.

Frequently Asked

Common Questions

What is a chronic disease management plan?

It is a way for you and your GP to organise ongoing care for a chronic condition. The GP can explain what may be appropriate for your situation.

Can I get a care plan for any condition?

Eligibility depends on your health circumstances and current Medicare requirements. Your GP can assess this with you.

Will a care plan mean I do not need to see specialists?

No. Your GP may recommend specialist or allied health care when appropriate and can discuss how it fits into your overall care.

Are there fees or Medicare rebates?

Fees and eligibility can depend on your circumstances and the service provided. Please confirm current fees with reception.

A chronic disease management plan is agreed between a patient and their doctor and can help structure ongoing care. healthdirect (opens in a new tab)