There are a number of well-defined conditions that require contributions from across the spectrum of medical care.

Your GP is best positioned to consider which areas of allied health and specialist input would be most helpful to support your health and wellbeing.

A GP Chronic Condition Management Plan (GPCCMP) is the process by which your GP takes the time to assess your needs in detail and develop a structured plan for your ongoing care. From 1 July 2025, the GPCCMP replaces the previous GP Management Plan and Team Care Arrangements.

Care planning is reviewed **regularly—at least every 3–6 months—**depending on your individual circumstances and needs.

A chronic condition is one that has been (or is likely to be) present for six months or longer. Examples include asthma, cancer, cardiovascular disease, diabetes, chronic musculoskeletal conditions (such as osteoporosis and advanced arthritis), and stroke. There is no formal list of eligible conditions.

The GPCCMP is designed for patients who require a structured, coordinated approach to managing complex or ongoing conditions. It helps GPs plan and coordinate care that involves a multidisciplinary team, which must include at least your GP and one other healthcare provider.

The need for allied health services must be directly related to your chronic condition and clearly identified in your care plan. Your GP will determine whether your condition is likely to benefit from allied health support.

Dr Hearnden was fortunate to be one of the directors of the original TeamCare trial held in Brisbane North. Much of the design of today’s care planning process was shaped by the GPs and staff of the Brisbane North Division of General Practice (now the Brisbane North Public Health Network (PHN)).