The doctors consulting at ANMH are committed to supporting the long-term health and wellbeing of our local community. For patients living with a chronic medical condition, the doctors consulting at Altona North Medical Hub, together with onsite and external allied health practitioners, can work with you to create a personalised care plan that supports your ongoing health needs.
Care is focused on coordination, regular review and practical strategies that aim to support day-to-day management and overall quality of life.
What is a chronic condition?
Chronic conditions are long-term health issues that have lasted six months or more. Some common examples include:
- Asthma
- Cancer
- Cardiovascular disease
- Diabetes
- Musculoskeletal conditions
- Stroke
Patients seeking support for chronic disease in Altona or chronic disease care in Melbourne’s western suburbs are encouraged to discuss their individual needs with their GP.
What is a GP management plan (GPMP)?
A GPMP is a structured care plan developed in partnership with your GP. It outlines your specific health needs, the services your GP will provide, and steps you can take to better manage your condition. This plan helps ensure your care is coordinated and tailored to your goals.
Team care arrangements (TCA)
If your condition requires input from multiple health professionals, your GP may also put in place a Team Care Arrangement. This involves your GP working closely with at least two other healthcare providers—such as physiotherapists, dietitians or specialists—to ensure you receive the right support across all areas of your care. Having a TCA from your GP often results in heavily subsidised or bulk-billed sessions with your allied health practitioners.
Is there a cost?
Eligible patients can access care plans at little or no cost. To find out if you qualify, simply book an appointment with your GP. We’re here to support your journey to better health, every step of the way.
Your care plan will be reviewed regularly by your GP to make sure it stays aligned with your needs. This gives you and your doctor the chance to review your progress and update your goals as needed. Our practice nurse is also available to help monitor your condition and support you between appointments.
Supporting long-term health goals
Living with a chronic condition can affect many aspects of daily life. GPs consulting at ANMH aim to support patients in setting realistic, achievable health goals that align with their individual needs.
This may include:
- Monitoring and reviewing medications
- Discussing lifestyle factors such as physical activity and nutrition
- Supporting self-management strategies
- Coordinating referrals where appropriate
Patients seeking support for chronic disease management in Altona are encouraged to book regular reviews to help maintain continuity and adjust care as required.
Access to allied health services
Altona North Medical Hub offers access to a range of onsite and external allied health services. Where appropriate, your GP may recommend involving allied health practitioners as part of your care.
This integrated approach can support patients managing chronic disease in Melbourne, helping reduce the need to attend multiple locations and supporting coordinated care within a single healthcare setting.
How do I know if I’m eligible for a GP Management Plan?
How often are care plans reviewed?
Do I need to see the same GP for chronic disease management?
Can care plans help with allied health costs?
Can lifestyle changes be included in my care plan?
