Chronic Disease Management

  • Controlling symptoms

  • Managing disease progression

  • Prevent acute flare up and action plans for its management

  • Decrease impact on functional capacity

  • Promote compliance to complex treatment

Aim of chronic disease management

  • Patient-centred Care

  • Patient education

  • Life style management

  • Risk factor managements

  • Psychological support

  • Multidisciplinary team care

  • Evidence based guidelines

  • Self-management:

  • Action plans

  • Follow up plan

What the care model involves

​At Redbank medical centre we manage the following chronic disease as explained above. Chronic disease management is fully bulk billed.


Commonly managed chronic conditions are:

  • Anxiety disorders

  • Alcohol dependence

  • Chronic heart failure

  • Chronic skin conditions

  • Chronic kidney disease

  • Chronic obstructive pulmonary disease (COPD)

  • Coronary heart disease (CHD)

  • Chronic Pain management

  • Coeliac disease

  • Dementia

  • Depression

  • Developmental delay in children

  • Diabetes type 2

  • Dyslipidaemia

  • Hepatitis C

  • Hypertension

  • Inflammatory bowel disease: Ulcerative colitis and chron’s Disease

  • Osteoarthritis

  • Osteoporosis

  • Overweight and obesity in adults

  • Overweight and obesity in children

  • Poor growth in children

  • Rheumatic heart disease (RHD)

  • Rheumatoid arthritis

  • Stroke and transient ischaemic attacks

  • Thyroid conditions: both hypothyroidism and hyperthyroidism

Common chronic conditions