Care Plans


Do you have a Chronic Medical Condition?

A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, heart disease, diabetes, arthritis and stroke. There is no list of eligible conditions.  However, these items are designed for patients who require a structured approach and to enable GP’s to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary care team.  Your GP will determine whether a plan is appropriate for you.

There are two types of plans than can be prepared by your GP.

GP Management Plan (GPMP)

A GPMP can help people with chronic medical conditions by providing an organised approach to care.  A GMPM is a plan of action you have agreed with your GP.  This plan:

  • identifies your health and care needs;
  • sets out the services to be provided by your GP; and
  • lists the actions you can take to help manage your condition.
Team Care Arrangements (TCAs)

If you have a chronic medical condition and complex care needs requiring care from other Health Care Professionals such as physiotherapy or podiatry, your GP
may also develop Team Care Arrangements. These will help coordinate more effectively the care you need from your GP and other health or care providers.

If TCA’s are required you will be referred to our Care Plan Nurse, Meagan to coordinate these appointments.

Further information is available here