Chronic Disease Management

Managing a chronic condition requires ongoing monitoring, coordinated care and a proactive approach to long-term health. At Calamvale Family Practice, we work closely with patients to develop personalised management plans aimed at improving quality of life and reducing complications.

Our goal is to support you with structured, consistent care that focuses on prevention, education and early intervention.

GP Management Plans

If you are living with a chronic medical condition, you may be eligible for a GP Management Plan (GPMP). This plan outlines your health goals, treatment strategies, medications and follow-up schedule.

A GP Management Plan allows for:

• Structured and coordinated care
  
• Regular review appointments
  
• Clear treatment objectives
  
• Access to Medicare-supported allied health services

Team Care Arrangements

Where appropriate, we can organise Team Care Arrangements (TCA), enabling collaboration between your GP and other healthcare providers such as physiotherapists, psychologists, dietitians, or exercise physiologists.

This approach ensures comprehensive and coordinated support across all aspects of your care.

Conditions We Commonly Manage

Diabetes

We provide monitoring, medication management, lifestyle support and regular reviews to help maintain stable blood glucose levels and reduce long-term complications.

Asthma

Asthma care includes diagnosis, medication review, asthma action plans and ongoing monitoring to ensure optimal respiratory health.

Cardiovascular Disease

We assist with managing high blood pressure, high cholesterol and other heart-related risk factors through medication management, lifestyle modification and regular health assessments.

Arthritis & Musculoskeletal Conditions

Our team provides management strategies to reduce pain, improve mobility and maintain independence. This may include medication, referrals and allied health coordination.

Mental Health Conditions

We offer mental health care plans, counselling referrals and ongoing support for conditions such as anxiety, depression and stress-related concerns.

Autoimmune Conditions

We provide ongoing care and monitoring for patients living with autoimmune conditions, where the immune system mistakenly attacks healthy tissue. Management focuses on symptom control, reducing inflammation, medication monitoring, and coordinating care with specialists where required for ongoing specialist care. 

Chronic disease care is most effective when it is consistent and personalised. We encourage regular reviews to ensure your management plan remains aligned with your health goals.