Chronic Disease Management in Tuncurry
- Collaborative Patient Care
- AHPRA-Registered Doctors
- Accessible Appointments
Tuncurry Chronic Disease Management
Chronic illnesses require long-term medical oversight to help reduce complications, manage symptoms, and support patients in maintaining quality of life. At Tuncurry Medical Centre, we provide Tuncurry residents with structured chronic disease management plans tailored to individual health conditions and circumstances. The practice's AHPRA-registered general practitioners use evidence-based care pathways to monitor and coordinate treatment for conditions such as diabetes, asthma, cardiovascular disease, arthritis, chronic obstructive pulmonary disease (COPD), and more. These management plans include regular reviews, lifestyle guidance, medication monitoring, and referrals to allied health professionals when needed. We also provide care planning under Medicare’s Chronic Disease Management (CDM) program, helping eligible patients access subsidised allied health services.
Patients living with long-term conditions benefit from consistent, personalised support. To arrange a care plan or review, contact Tuncurry Medical Centre on (02) 6554 5531.
Long-Term Care Planning and Coordination
Managing a chronic illness involves more than treating symptoms—it requires a proactive and collaborative approach. A chronic disease management plan begins with a detailed health review, where your GP evaluates your diagnosis, treatment history, lifestyle factors, and any barriers to ongoing care. Together, you’ll set health goals and establish strategies to maintain stability or slow progression. These may involve medication adjustments, diet and exercise recommendations, and ongoing monitoring through blood tests or other diagnostics. Where appropriate, your GP may coordinate referrals to allied professionals such as physiotherapists, dietitians, or podiatrists. Under Medicare, eligible patients may receive subsidised visits to support this multidisciplinary care.
Consistent reviews and communication help to effectively manage chronic conditions. To start or update your care plan, call or email to speak with the team.
What is a chronic disease management plan in Australia?
A chronic disease management (CDM) plan is a structured approach offered by general practitioners for patients with a medical condition lasting six months or more. It includes a written care plan detailing your condition, treatment goals, prescribed medications, and support strategies. Eligible patients can also be referred for up to five Medicare-subsidised visits per year to allied health providers. This helps ensure a coordinated, team-based approach to managing long-term conditions.
What types of chronic illnesses are commonly managed in general practice?
General practices commonly manage chronic conditions such as type 2 diabetes, asthma, arthritis, chronic obstructive pulmonary disease (COPD), cardiovascular disease, and osteoporosis. Other eligible conditions may include chronic kidney disease, persistent back pain, mental health disorders, and autoimmune diseases. Management involves regular assessments, tailored treatment plans, medication reviews, and coordination with specialists and allied health professionals as needed.
How often should chronic conditions be reviewed?
Most chronic conditions should be reviewed every three to six months, depending on the nature and severity of the illness. Reviews typically include physical assessments, test results, medication adherence, and discussion of any new symptoms or concerns. More frequent reviews may be necessary if the condition is unstable or new treatments are being trialled. Regular follow-up helps prevent complications and ensures your treatment remains aligned with current clinical guidelines.
