Integrated Chronic Disease Care - Great Southern
The aim of this program is to improve the health of people who are at high risk of, or have already been diagnosed with diabetes or respiratory conditions.
Patients will be referred to our Care Coordinator by their GP. The Care Coordinator will then talk to the patient and provide them with the allied health services they need to better manage their condition and feel more confident about their health.
General Practitioners with patients located in the Great Southern, please click for a Referral Form into the Program.
Priority LocationsThe service will operate in the following locations:
Albany, Mount Barker, Katanning, Denmark, Frankland, Cranbrook, Gnowangerup, Tambellup, Jerramungup and Bremer Bay
How will the service work?
The program is targeted at vulnerable and disadvantaged people who will benefit from well coordinated wrap around care. GPs will refer their eligible patients into the program. When a referral has been received, the care coordinator will then contact the patient and talk to them about their health. The care coordinator will then be able to decide what support the patient requires and organise wrap around service support from a range of allied health professionals.
Allied health services
The services this program will provide include:* Dietetics
* Diabetes Education
* Exercise Physiology
Visiting services will be provided to targeted locations, providing patients with locally based care.
Aboriginal clients referred into this service will be given the opportunity to transfer into our Indigenous specific program, Integrated Team Care.
Amity Health works closely with general practice, educating GPs about our programs, as well as other services.
We work closely with our funders, WA Primary Health Alliance, also WA Country Health Service, as well as a range of other not for profit providers.
Amity Health acknowledges WA Primary Health Alliance (WAPHA) for providing funding in its role as the operator of the Country WA PHN.