Living with a chronic condition can be overwhelming at times. Whether it’s diabetes, asthma, heart disease, or arthritis, these long-term health issues can impact every part of your daily life. That’s why having the right support system is essential. At Florence Street Family Practice in Hornsby, we believe your family GP plays a central role in chronic disease management. We’re here to walk alongside you with consistent, compassionate care.
What Is a Chronic Condition?
Chronic conditions are ongoing health concerns that last six months or more. They often require ongoing medical attention and may limit daily activities. Common examples include asthma, diabetes, chronic obstructive pulmonary disease (COPD), arthritis, and heart disease. Chronic illness management with a GP ensures that you’re not navigating these complex issues on your own.
Why Chronic Disease Management Matters
Managing chronic conditions isn’t just about treating symptoms — it’s about improving your quality of life. At Florence Street Family Practice, we help patients take a structured and proactive approach to chronic illness. Our chronic disease management services include regular check-ins, care planning, coordination with specialists and allied health providers, and lifestyle guidance. We focus on early intervention, patient involvement, and consistent follow-up care.
What Services Does a GP Offer for Chronic Conditions?
Your family doctor is your first point of contact and can offer a wide range of services to support long-term health. These include:
- Diagnosis and monitoring of your condition
- Medication management
- Preventative screenings
- Blood tests and health checks
- Lifestyle and dietary advice
- Coordination of care with allied health professionals like physiotherapists or psychologists
If you have a chronic medical condition, you may be eligible for up to 5 partially rebated allied health sessions in a calendar year under a GP Chronic Condition Management Plan. The types of allied health practitioners that you can see through a GPCCMP referral include:
- Aboriginal Health Worker
- Audiologist
- Chiropractor
- Diabetes Educator
- Dietitian
- Exercise Physiologist
- Mental Health Worker
- Occupational Therapist
- Osteopath
- Physiotherapist
- Podiatrist
- Psychologist
- Speech Pathologist
The Role of a GP Chronic Condition Management Plan
As of July 2025, it is now mandatory for patients with long-term conditions to register for MyMedicare. This update is crucial for ensuring structured and supportive care. If you’re living with a long-term condition and want structured, supportive care, Florence Street Practice is here to help. You will need to register for MyMedicare and nominate Florence St Family Practice as your Primary Care provider. You can then book an appointment with one of our GPs who will confirm if you are eligible. If you are eligible, the GP, will set up the required documentation with you. You can then be directly referred to allied health services using standard referral letters. This referral letter can be addressed to any practitioner or generally to an allied health discipline but must reference the type of allied health service you’re needing, and include your relevant medical history.
For those previously on a GP Mangement Plan (GPMP) or Team Care Arrangement (TCA) prior to 1 July 2025, you can continue to access services that are consistent with those plans under specific transition arrangements, set out by the Australian Government’s Department of Health, Disability and Ageing.
Family GP Chronic Disease Care with a Personal Touch
Florence Street Family Practice takes a patient-centred approach to chronic care. We work with people of all ages — from children with asthma to older adults managing multiple conditions. Our doctors take time to get to know you, listen to your concerns, and understand how your condition affects your daily life.
We believe that family GP chronic disease care should be consistent and personal. You’re not just a patient file — you’re a person with goals, responsibilities, and preferences.
Who Needs a GPCCMP?
Anyone living with a long-term or complex condition may benefit. If your day-to-day life is impacted by your health, and you’re seeing different providers to help manage it, talk to your GP about whether a GPMP or TCA is suitable.
Some conditions we support through our chronic disease management programs include:
- Diabetes
- Asthma
- COPD
- Osteoporosis
- Dementia
- Chronic kidney disease
- Mental health issues like anxiety or depression
- Musculoskeletal disorders
- Cardiovascular disease
There’s no set list — your GP will assess your health and help determine the most appropriate pathway.
Why Florence Street Family Practice?
We understand the emotional and physical toll of chronic illness. That’s why we strive to be the best GP for chronic disease management in Hornsby. Our team is dedicated to:
- Building long-term relationships with patients and families
- Offering personalised treatment strategies
- Supporting ongoing lifestyle and behavioural changes
- Ensuring continuity of care with regular check-ins
Our GPs have extensive experience in managing chronic conditions and are committed to helping you achieve the best possible health outcomes.
Ready to Take Control of Your Health?
If you’re living with a long-term condition and want structured, supportive care, we’re here to help. Make sure to register for MyMedicare and nominate Florence St Family Practice as your Primary Care provider, then book an appointment with one of our GPs to discuss your chronic disease management needs.
Call Florence Street Family Practice on (02) 9476 2255 to get started or book online via our online booking system. Your journey to better health starts with your family GP.
