Chronic Disease Mge

What is Chronic disease management plan?


There are 2 kinds of management plans:

- a GP Management Plan and

- a Team Care Arrangement.


A GP Management Plan

A GP Management Plan involves your GP and practice nurse, who, with your consent and assistance, form a written plan of management outlining your care.


Who would benefit from a GP Management Plan?

Anyone who has a long term medical condition that lasts longer than 6 months e.g. diabetes, asthma, heart disease, arthritis, palliative care and is:

♦ living in the community.

♦ a private patient being discharged from hospital.