**Important Update
From 1 July 2025, Medicare is introducing changes for how chronic conditions like diabetes, heart disease and asthma are managed.
At HSMC, 12-weekly check-ins will become the new standard. This means:
- More proactive care
- Fewer complications
- Better long-term outcomes
We’ll be in touch if these changes affect you directly.
Watch this space for more updates.
Managing Your Health Long-Term
We provide General Practitioner Chronic Condition Management Plans (GPCCMPs) to help you maintain optimal health and improve your quality of life. Our services support patients with chronic medical conditions through individualised care plans and coordinated treatment.
What is a Chronic Condition?
Chronic conditions are long-term health issues that last for at least six months and require ongoing medical attention and management. Unlike acute conditions, which are severe and sudden in onset but typically short-term, chronic conditions develop gradually and can last indefinitely.
Toggle to View Examples of Chronic Conditions
- Diabetes (Type 1 and Type 2): Conditions that affect how your body processes blood sugar.
- Heart Disease: Conditions such as coronary artery disease, heart failure and hypertension.
- Chronic Obstructive Pulmonary Disease (COPD): A group of lung diseases that cause breathing difficulties.
- Asthma: A condition in which your airways narrow and swell, causing breathing difficulties.
- Arthritis: Inflammation of the joints, causing pain and stiffness.
- Chronic Kidney Disease: A condition characterised by gradual loss of kidney function.
- Obesity: Excessive body fat that increases the risk of other health problems.
- Depression and Anxiety: Long-term mental health conditions that affect mood and behaviour.
- Osteoporosis: A condition that weakens bones, making them fragile and more likely to break.
- Hypertension: High blood pressure, which can lead to serious health problems like heart disease and stroke.
- Hyperlipidemia: High levels of lipids (fats) in the blood, increasing the risk of cardiovascular diseases.
- Cancer: Various forms of cancer that require long-term treatment and management.
- Chronic Back Pain: Persistent pain in the back that lasts for more than six months and can significantly impact daily activities.
- Endometriosis: A painful condition where tissue similar to the lining inside the uterus grows outside the uterus, causing chronic pain and other symptoms.
General Practitioner Chronic Condition Management Plan (GPCCMPs)
General Practitioner Chronic Condition Management Plan (GPCCMPs) are tailored to meet the unique needs of each patient. These plans involve:
- A thorough assessment of your medical history and current health status.
- Development of a personalised care plan in collaboration with you.
- Regular reviews and updates to ensure your plan remains effective.
How they help
GPCCMPs are designed to provide comprehensive and coordinated care for patients with chronic conditions. By working with your GP, you receive a tailored approach to managing your health, ensuring all aspects of your condition are addressed. Here are the key benefits of GPCCMPs:
- Coordinated care to manage multiple health issues.
- Regular monitoring to adjust treatment plans as needed.
- Support for self-management strategies to improve health outcomes.
Allied Health Services
We work closely with a network of allied health professionals, including physiotherapists, dietitians, and psychologists, to provide a holistic approach to managing chronic conditions. Our team collaborates to address all aspects of your health and well-being.
Benefits of General Practitioner Chronic Condition Management Plan
Engaging in a structured chronic disease management plan offers numerous benefits, such as:
- Improved management of symptoms and reduction in complications.
- Enhanced quality of life and ability to perform daily activities.
- Reduced hospital admissions and emergency visits.
Patient-Centred Care
We prioritise patient-centred care, ensuring that every patient’s unique needs, preferences, and values are at the forefront of our healthcare approach. We believe in fostering a collaborative relationship between patients and healthcare providers to achieve the best possible health outcomes.
Key Elements of Patient-Centred Care:
- Personalised Care Plans: Each patient receives a personalised care plan developed through a consultative process with their GP, considering medical history, current health status, and personal health goals.
- Collaborative Decision-Making: We encourage active participation from patients in their healthcare decisions to ensure treatment plans align with their lifestyle, preferences, and values.
- Respect and Empathy: The healthcare team at HSMC provides care with respect and empathy, understanding each patient’s unique situation and offering support throughout their healthcare journey.
- Education and Empowerment: We empower patients with knowledge and tools to manage their conditions effectively, enabling them to take control of their health and make informed decisions.
- Comprehensive Support: We provide comprehensive support, including access to allied health services, mental health support, and lifestyle advice, addressing all aspects of a patient’s well-being.
- Continuous Improvement: We regularly review and update care plans, seeking patient feedback to improve our services and enhance patient satisfaction.
Cost and Coverage
People who are eligible for a Care Plan are provided with up to 4 bulk billed appointments with their GP and 5 separate appointments with our nurses, to help manage their chronic condition.
Schedule a Consult
Getting started with a chronic disease management program, begins with a consult with a GP at our clinic:
- Schedule an appointment with a GP. You can schedule an appointment by booking online or by calling our clinic on (03) 9510 5500.
- During your visit, we will discuss your health concerns and determine if a GPCCMP is right for you.
- If it is determined that a GPCCMP is right for you, we will work together to develop and implement a comprehensive care plan.
Book your appointment today and start your journey towards better health.
Frequently Asked Questions (FAQ)
What is chronic condition management?
Chronic condition management involves a coordinated approach to managing long-term health conditions such as diabetes, heart disease, COPD, and arthritis. It includes regular monitoring, personalised care plans, and collaboration with various healthcare professionals to improve the quality of life and health outcomes for patients.
What conditions are considered chronic conditions?
Chronic conditions are long-term health conditions that typically last for at least six months and require ongoing management. Examples include diabetes (Type 1 and Type 2), heart disease, asthma, COPD, arthritis, chronic kidney disease, obesity, depression and anxiety, osteoporosis, hypertension, hyperlipidemia, cancer, chronic back pain, and endometriosis.
Are GPCCMPs covered by Medicare?
Yes, GPCCMPs are covered by Medicare for eligible patients. This typically means that there are no out-of-pocket costs for these plans, but it is advisable to confirm your eligibility and specific coverage details with our clinic staff or by checking the Medicare website.
What are the benefits of chronic condition management?
Effective chronic condition management can lead to:
- Improved management of symptoms and reduction in complications.
- Enhanced quality of life and ability to perform daily activities.
- Reduced hospital admissions and emergency visits.
- Better overall health and well-being.
How is a GPCCMP developed?
A GPCCMP is developed through a consultative approach between you and your GP. It involves detailed discussions about your medical history, current health status, lifestyle, and treatment preferences. This collaborative process ensures that the care plan is tailored to your specific needs and goals.
Can telehealth services be used for chronic disease management?
Yes, telehealth services can be very effective for managing stable chronic conditions. They allow for virtual consultations with your healthcare providers, making it easier to manage your condition from the comfort of your home. Benefits include convenience, regular monitoring, and increased access to care, especially for those with mobility issues.
How do I get started with chronic condition management at your clinic?
Getting started is simple:
- Schedule an appointment with a GP.
- During your visit, we will discuss your health concerns and determine if a GPCCMP is appropriate for you.
- We will work together to develop and implement a comprehensive care plan tailored to your needs.
What should I bring to my first appointment for chronic condition management?
For your first appointment, please bring:
- A list of your current medications.
- Any relevant medical records or test results.
- Information about your medical history and any previous treatments.
- Questions or concerns you have about managing your condition.
If you are an existing patient of High Street Medical Clinic, we will have access to your patient details, however, it is still highly recommended that you come prepared to ensure your GP has all available information, and can respond to any questions or concerns you may have.
What lifestyle changes might be recommended as part of my chronic disease condition plan?
Depending on your specific condition, lifestyle changes may include:
- Dietary modifications to improve nutrition and manage weight.
- Regular physical activity tailored to your abilities and health status.
- Stress management techniques to improve mental well-being.
- Smoking cessation support if applicable.
We take a holistic approach to your medical condition, considering all aspects of your lifestyle in the management plan.
