In the ACT, many Aboriginal and Torres Strait Islander people present with complex and multiple chronic conditions and are in need of coordinated care. Grand Pacific Health and Winnunga Nimmityjah Aboriginal Health and Community Services are supported by funding from the ACT PHN, through the Australian Government Department of Health Indigenous Australians’ Health Programme.
The ITC program:
- Provides care coordination, delivered by qualified health care workers, to assist with patient education, chronic disease self-management, and implementation of care plans. The Care Coordinator works closely with the patient, their family, GP, Practice Nurse, Allied Health Practitioners, and specialists involved in their care.
- Includes limited supplementary service funding to assist patients to access urgent or essential health services that are not otherwise affordable or available in a clinically acceptable time frame. This funding can be used towards the cost of specialist and allied health services (including consultation fees, transport to appointments and certain approved medical aids), in accordance with the patient’s care plan. Access to funding is arranged by the Care Coordinator following referral, triage and assessment.
GPs can refer patients to the ITC program if the patient would benefit from assistance with management of their chronic disease(s) to improve health outcomes. Priority is given to patients with complex chronic care needs who require multidisciplinary, coordinated care.
Referrals for mainstream general practice: please contact Grand Pacific Health Integrated Care Intake team on 1800 879 096 or (02) 4448 2200.