Integrated Team Care (ITC)

Our ITC Team supports our Community to manage and improve their chronic health conditions by providing free, culturally safe primary health services and collaborating with medical professionals, and other health specialists.

Our Care Coordinators are qualified health workers, who can help our Clients to:

  • Better manage and understand their health condition(s)
  • Provide some clinical care
  • Follow up services in the Care Plans that their General Practitioner (GP) created
  • Access some GP-approved medical aids
  • Speed up access to urgent and essential allied health or specialist services
  • Organise regular reviews by the primary care providers

ITC Clients can also access transport.

Client Eligibility

To be eligible for support in the ITC program, clients must be:

  • An Aboriginal or Torres Strait Islander person
  • Enrolled for chronic disease management in a General Practice
  • Have a GP Management Plan
  • Be referred by their GP


Referral Form


NOTES

  • Clients who live in Residential Aged Care Facilities are not eligible for ITC
  • The ITC program is not intended to supplement an Aged Care Package
What is Chronic Disease?

Chronic diseases are long lasting health conditions with persistent effects that can impact on peoples’ quality of life.

Our People & Chronic Disease

There is still a substantial gap in life expectancy for our people, 12 years for males and 10 years for females, and chronic disease is known to be a major contributor to this.

Almost half of our people live with at least one chronic condition, which includes:

  • Cerebrovascular Diseases
  • Diabetes
  • Heart disease
  • Liver Disease
  • Respiratory Disease
Age Care 1
Age Care 3
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