Chronic Disease Management & Team Based Care

1. What is a GP Management Plan (GPMP)?

A GP Management Plan is a written plan of management developed by your GP and practice nurse in consultation with you. The GP Management Plan is a written set of information about what you need in managing your chronic or complex condition.

2. Who will benefit from a GPMP?

Any person with a chronic (long term) medical condition such as:

  • Diabetes
  • Arthritis
  • Heart Disease
  • Asthma
  • Cancer
  • Osteoporosis

3. What happens when your doctor organises a Management Plan?

Together we:

  • Identify your health priorities
  • List the actions you can take to help manage your condition
  • What (if any) other health care and community services you need
  • What results you would like from the GPMP to help with your chronic condition

4. What is a Team Care Arrangement (TCA)?

If the doctor determines you would benefit from other health care providers or allied health professionals being involved in providing treatment, a team care arrangement will be completed. With your consent, your doctor will ask the relevant allied health professionals to be part of your care plan.

5. What is an allied health professional?

Any allied health worker like a physiotherapist, dietitian, podiatrist, audiologist, diabetes nurse, occupational therapist, pharmacist, asthma nurse or exercise physiologist.

6. How many visits can I have with an allied health professional?

Persons with a GP Management plan and Team Care Arrangement are eligible for 5 visits per calendar year to see allied health professionals.

7. Will it cost me anything to have a GPMP and TCA done by my doctor?

All GPMP and TCA plans are bulked billed by your GP, so there will be no charge for these services.

8. Will it cost anything to see an allied health professional with a GPMP & TCA

Allied health professionals may require you to pay on top of the Medicare rebate. Speak to your allied health professional about any charges.

9. What is a GPMP / TCA review?

Once a plan is in place, it should be regularly reviewed by your GP. This is an important part of the plan cycle, where you with your GP and practice nurse check that your goals are being met and agree on any changes that you may require.

A GP Management Plan Review is usually undertaken every 6 months.

All GPMP Reviews are bulk billed by your GP. There will be no charge for these services.

10. How long will it take?

The management plan will take about 45-60 minutes of your time. Your doctor and practice nurse will spend this time consulting with you to prepare your care plan.

11. Who is eligible?

Your GP will decide if you fulfill the eligibility requirements set by Medicare, prior to preparing a plan.

Medicare has guidelines on who can and can’t have a GP Management Plan prepared. Your GP will help in making this decision.

12. Can I still make an appointment for the allied health professional?

Speak to our receptionist to make an appointment for any of the allied health professionals that work at this practice.

If you are visiting an allied health professional at another location, please contact their number to make an appointment.

13. You have your GPMP, what to do next?

  • Get a copy of your GP Management Plan (GPMP) / Team Care Arrangement (TCA).
  • Speak to our receptionists to book your appointments with your allied health team.
  • Book any further appointments with your allied health professional. If you have a TCA, you get up to 5 visits with an allied health professional in a calendar year.
  • Continue with the recommendations made in your GP Management Plan.
  • After 4-6 months, book another GPMP Review / TCA Review with your GP and practice nurse to discuss the ongoing treatment.

Bannockburn Surgery offer a comprehensive range of medical services, if you need iron infusions, mental health care or would like to book a skin check contact our team today.

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