A personalised care plan for people living with chronic or long-term health conditions. Our GPs and Preventative Health Nursing Team work together to coordinate your care, support your health goals, and connect you with allied health services when needed.
Living with a chronic condition can affect many aspects of your health and wellbeing. A GP Chronic Condition Management Plan (GPCCMP) provides structured, ongoing support to help you manage your condition, access appropriate healthcare services, and stay on track with your health goals.
Living with a chronic condition can affect many aspects of your health and wellbeing. A GP Chronic Condition Management Plan (GPCCMP) provides structured, ongoing support to help you manage your condition, access appropriate healthcare services, and stay on track with your health goals.
From 1 July 2025, chronic disease management in Australia transitioned to a single, streamlined model known as the GP Chronic Condition Management Plan (GPCCMP). The plan is developed collaboratively between you and your GP and focuses on the whole person, not just the condition itself.
Your plan may include treatment goals, referrals to allied health professionals, lifestyle support, and regular reviews to monitor your progress. Enhanced nurse involvement provides additional guidance and follow-up to help you achieve the best possible health outcomes.
The GPCCMP is designed to support your medical needs while also considering your emotional wellbeing, lifestyle, family responsibilities, cultural background, and personal priorities.
Our team works closely with you to develop a personalised care plan that supports your long-term health and wellbeing. Here's what you can expect during the process:
Meet with your GP to discuss your health condition, current treatments, challenges, and personal health goals. Together, you'll determine whether a GPCCMP is appropriate for your needs.
Your GP will create a personalised management plan outlining your condition, treatment goals, support needs, and any referrals required for allied health services or specialist care.
Our Preventative Health Nursing Team provides additional support, helping you stay engaged with your care plan, monitor progress, and access recommended services.
Your care plan will be reviewed regularly to ensure it remains effective, reflects changes in your condition, and continues to support your health goals.
