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Chronic Condition Management

Walking Every Step With You. Because You’re Never Alone.

Chronic Disease Management

Living with a chronic condition can feel overwhelming, but you don’t have to face it alone. At Family Health Clinic Malvern, GPs work closely with a multidisciplinary team, including physiotherapists, podiatrists, osteopaths, psychologists, pharmacists, and specialist doctors, to provide coordinated support for your health journey. Our goal is to help you live well with your condition and better manage its impact

Chronic condition management focuses on understanding the condition, agreeing on realistic goals, coordinating appropriate services and reviewing progress over time. Outcomes vary between individuals, and a management plan does not guarantee remission or prevention of complications.

Your GP may act as the central coordinator of your care and may recommend further testing through our pathology services or a comprehensive health assessment to better understand your overall health. For example, a pharmacist’s review of your medications can help avoid unnecessary additions and reduce the risk of polypharmacy.

To support this, your GP may develop a tailored GP Chronic Condition Management Plan. Eligible patients may be referred for Medicare-subsidised allied health services in accordance with current Medicare Benefits Schedule requirements.

Our approach is centred on education, empowerment, and personalised care. Together with your GP, you can set achievable goals, explore treatment options, and access ongoing support to help manage your health. If you’re living with one or more chronic conditions, we encourage you to book a consultation to discuss your health needs, goals and appropriate care options.

What To Expect

Make an Appointment

Book an appointment that works for you.

Talk to Us

Discuss your health concerns with your GP.

Make a Plan

Your GP may develop a management plan and discuss suitable care options.

Follow Up

Follow-up consultations may help review progress and adjust your plan where needed.

Seek help today. Make an appointment to speak to us.

Tailored Care for Your Health Journey

Living with a chronic condition can feel challenging, but you don’t have to face it alone. At Family Health Clinic Malvern, we focus on you as an individual — your needs, your goals, and your wellbeing. Our healthcare team works with you to create a personalised lifestyle and treatment plan that fits your life, not just your diagnosis. This may include a GP Chronic Condition Management Plan and, where appropriate and eligible, referrals to allied health or other healthcare services.

We believe that setting achievable goals, understanding your treatment options, and feeling supported every step of the way are key to managing your condition and participating in decisions about your care. GPs can assist patients managing a range of chronic conditions, including diabetes, hypertension, arthritis, COPD, asthma, obesity, heart disease, and more. With empathy and expertise, we provide up-to-date information, practical advice, and ongoing support to help patients make informed decisions about their health.

Our Practitioners

Dr Nadim Taoum, Family Health Clinics GP, in blue checked suit and white shirt, stands with hands clasped.

Dr Nadim Taoum

MBBS, FRACGP, MHA, DCH

General Practitioner | Founder

Dr Neda Beikaee, Family Health Clinics GP, smiles confidently in a black blazer with stethoscope on white background.

Dr Neda Beikaee

MD, FRACGP. Dip.Skin Dermoscopy

General Practitioner

Frequently Asked Questions

There are some chronic diseases for which unhealthy lifestyle choices can be a contributor. By visiting your GP regularly, early warning signs may be identified. For some people, timely advice and guidance from their GP may help support healthier lifestyle choices, which can reduce the risk of conditions such as obesity, diabetes, some cancer types, heart disease, and other long-term medical challenges.

The timing of reviews will depend on your individual health needs and clinical circumstances. Your GP may review your progress and update your plan when appropriate and in accordance with current Medicare requirements.

When it comes to chronic condition management, private health insurance may help reduce costs for certain services. Eligibility for rebates will depend on when your policy began and whether the additional services or costs required are included in your cover. It is advisable to discuss your policy with your health insurance provider for clarity.

Some healthcare services may be eligible for Medicare benefits under the current MBS, while others may involve an out-of-pocket cost. Eligibility and fees can vary, so patients should confirm applicable Medicare benefits with their healthcare provider or Medicare.

Management of a chronic condition involves developing an ongoing plan to help a patient live with one or more medical conditions. This may include understanding the patient’s healthcare needs, setting goals, discussing and coordinating services, exploring treatment options, making informed decisions, and attending regular consultations to review the plan.

Where appropriate, a GP may prepare a GP Chronic Condition Management Plan (GPCCMP) to document and coordinate the patient’s healthcare needs, goals, treatments and services involved in their care.

There are several key principles of chronic condition management that GPs may discuss with their patients. These include understanding the condition, making informed decisions, learning how to navigate the healthcare system and available financial support, developing self-management strategies, and accessing community support options. The aim is to support patients in managing their condition with an appropriate care plan.