Care for people with chronic conditions

This guide is for all services delivered through the Community Health Program. It details the planning and delivery of care for people with a chronic condition.

The guide:

  • aims to ensure a consistent approach to care for people with a chronic condition
  • outlines the principles that underpin good practice in the delivery of care for people with chronic conditions within a community health setting
  • provides a guide for program managers to develop, plan and monitor services for people with chronic conditions
  • outlines how chronic care services contribute to, and are integrated with, the wider service system (in particular how community health services are expected to work with general practice and other specialist services to support a comprehensive and integrated approach to chronic conditions).

The primary audience is organisations funded to deliver the Community Health Program. However, given the integrated nature of service provision, the guide is also relevant for other partner organisations and programs delivering services to people with chronic conditions.