Chronic Disease Management

To qualify for this program you must be Aboriginal or Torres Strait Islander, have at least one pre-existing chronic condition and have a GP Management Plan (GPMP) and a current 715 Aboriginal and Torres Strait Islander Health Check formulated by your GP.

What is a chronic disease?

A chronic disease is an illness that can last six months or more and has impact on your everyday life.

Example of chronic diseases include:

diabetes (sugar levels in the blood)

heart disease (for example high blood pressure)

lung disease (for example asthma)

kidney disease

cancer

Area this services covers

The Integrated Team Care Program is available in the Illawarra, Shoalhaven, Bega Valley, Cooma, Goulburn, Queanbeyan, Yass and ACT regions.

This program operates a Centralised Referral and Intake

Practices using Healthlink or Argus in Best Practice software should send referrals using the ITC referral template.

Healthlink

gphs8uth

Argus

Argus.gphsouthern@gph.org.au

Available at

Grand Pacific Health Cooma

61 Massie Street, Cooma, 2630, NSW
PO Box 4 Cooma NSW 2630
Phone 02 6453 4400
Fax 02 6453 4414

Grand Pacific Health Eden

Unit 3, 161 Imlay Street, Eden, 2551, NSW
PO Box 513 Bega NSW 2550
Phone 02 6494 8800
Fax 02 6494 8855

Grand Pacific Health Goulburn

13-17 Verner Street, Goulburn, 2580, NSW
PO Box 322 Goulburn NSW 2580
Phone 02 4824 4900
Fax 02 4824 4990

Grand Pacific Health Queanbeyan

34 Lowe Street, Queanbeyan, 2620, NSW
PO Box 1204 Fyshwick ACT 2609
Phone 02 6298 2900
Fax 02 6298 2982

Referrals

To qualify for this program you must be Aboriginal or Torres Strait Islander, have at least one pre-existing chronic condition and have a GP Management Plan (GPMP) formulated by your GP. Your GP must also be signed up to PIP IHI in order to refer you.