Providing Health & Wellbeing Solutions

Integrated Chronic Disease Care - South East Coastal Goldfields 

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, cardiac 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 South East Coastal Goldfields,
click for a Referral Form into the Program.

Priority Locations

The service will operate in the following locations:  
  • Esperance, Norseman, Ravensthorpe, Hopetoun


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
  • Physiotherapy
  • Podiatry

Visiting services will be provided to targeted locations, providing patients with locally based care.

Aboriginal patients

Aboriginal clients referred into this service will be given the opportunity to transfer into the Indigenous specific program, Integrated Team Care (Hope Community Services). 

Working together

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.