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GP Chronic Condition Management Plans

GP Chronic Condition Management Plans


A GP Chronic Condition Management Plan (GPCCMP) is a written plan of care developed collaboratively between you, your GP, and the practice nurse.
It outlines your healthcare needs, goals, and strategies to help you manage your chronic or ongoing medical conditions.

If your GP identifies that you would benefit from the support of other healthcare providers or allied health professionals, your plan may also include referrals which allow you to access Medicare-subsidised visits with allied health professionals who are involved in your ongoing care.

Your GP and practice nurse will review your plan regularly—usually every 3 to 6 months—to ensure that your care remains up to date and continues to meet your health goals.

Allied Health Professionals Who May Be Involved

Depending on your individual needs, your care team may include:

  • Physiotherapist
  • Dietitian
  • Podiatrist
  • Audiologist
  • Diabetes Nurse Educator
  • Occupational Therapist
  • Pharmacist
  • Asthma or Respiratory Nurse
  • Exercise Physiologist
  • Osteopath
  • Chiropractor
  • Speech Pathologist
  • Social Worker

Why Regular Reviews Are Important

Regular reviews ensure:

  • Your goals and treatments remain relevant
  • Any changes in your condition or circumstances are addressed
  • You continue to receive coordinated, high-quality care