Patient Information for GP Management Plans & Team Care Arrangements

As part of Medicine on Blackwood's philosophy of serving as your 'Medical Home', in choosing this general practice we are responsible for your ongoing, comprehensive, whole-person medical care.

Our patients and their families enjoy a continuing relationship with a particular GP with support from a practice team and other clinical services in the 'medical neighbourhood'.

The medical home coordinates the care delivered by all members of your care team and when required this may include hospital inpatient care. At Medicine on Blackwood our focus as your medical home is to ensure you experience integrated health care.

This patient-centred model for health care is effective, efficient and welcomed by patients and providers.

Two important facilities which contribute to this medical care and for which many of our patients are eligible are GP Management Plans and Team Care Arrangements.

GP Management Plans

These are described by Medicare as plans designed to assist patients with chronic or terminal medical conditions, including those requiring multidisciplinary, team-based care from a GP and at least two other health or care providers.

We prefer to think of them as an integral part of the personal care we provide for those of our patients who are living with chronic medical conditions. It ensures both parties have a clear understanding of your very specific needs and provides thought out and well planned pathways to manage those conditions.

Your GP and Practice Nurse will develop a plan designed just for you, to meet your needs. It enables a co-ordinated approach and includes the specialists and allied health practitioners who also care for you. Experience has shown this united and informed approach leads to improved patient health and well-being.

Who will benefit from a GP Management Plan?

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

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

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 plan to help with your chronic condition

Team Care Arrangements

Once determined 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 or practice nurse will ask the relevant allied health professionals to be part of your care plan.

Who are allied health professionals?

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

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

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

Will it cost anything to have a GP Management Plan and Team Care Arrangement done by my GP or practice nurse?

Both plans are bulked billed by your GP at Medicine on Blackwood, so there will be no charge for these services.

Will it cost anything to see an allied health professional with a GP Management Plan and Team Care Arrangement?

Once your GP Management Plan is in place you can access eligible allied health practitioners through the Medicare system. Some may choose to bulk bill you and others may charge you their standard private fee however the rebate you can claim through Medicare is higher than you would receive if claiming through a private health fund.

You have your GP Management Plan, what should you do next?

  1. Keep your copy of your GP Management Plan and Team Care Arrangement in a safe place. Review them regularly.
  2. Book your appointments with your allied health teams.
  3. Track how you are responding to the recommendations and healthcare services you receive and book a review with your GP every six months to discuss your treatment.