: Chronic Disease Management Program : Enhanced Primary Care Plan

Enhanced Primary Care Plan

The General Practitioner remains the focal point of all care for the patient. Part of this includes having a current GP/Team Care Plan in place with the patient. The Care Management Plan developed by the General Practitioner will be provided to the Health Advocate who will work with the client to ensure that service delivery is coordinated and integrated and that information is exchanged between relevant service providers as required and appropriate.

Click on the relevant below link to gain access to relevant clinical information for Aboriginal and/or Torres Strait Islander patients living with a chronic condition:

Asthma Clinical Guidelines

Cancer Clinical Guidelines

Cardiovascular Clinical Guidelines

Chronic Kidney Disease Clinical Guidelines

COPD Clinical Guidelines

Diabetes Clinical Guidelines

Hospital Referral Templates

GP Management/Team Care Arrangements/Combined Care Agreement Templates

GP Mental Health Care Plan Template


Our Services

Our Video Channel

NCACCH Head Office

8/8 Innovation Parkway BIRTINYA Queensland 4575

Phone: 07 5346 9800 | Fax: 07 5346 9899