Chronic Disease Management

Our wonderful team of caring GPs and Practice Nurses manage patients with chronic diseases such as asthma, coronary heart disease, chronic obstructive pulmonary disease, diabetes and chronic kidney disease.

Many illnesses and health conditions can be classified under the broad heading of chronic disease. Chronic diseases are mostly characterized by:

• Complex causality
• Multiple risk factors
• Long latency periods
• A prolonged course of illness
• Functional impairment or disability

We work with our patients on prevention of chronic diseases and provide regular checks on cholesterol, glucose and blood pressure and help patients improve these. GPs use the Diabetic risk assessment tool and Australian Cardiovascular Risk Predictor to target those at moderate to high risk and also factor in family history and smoking status.

Our team has an excellent referral network of specialists and Allied Health professionals to help with chronic disease management.