Chronic conditions service partners

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CHRONIC PAIN MANAGEMENT PROGRAM (CPMP)

Pain is said to be chronic if it persists beyond the normal healing time of about three months. Chronic pain may result from trauma, surgery, chronic medical conditions, or have an unknown cause.

The Chronic Pain Management Program (CPMP) is a small group program run by allied health practitioners with specialised training. It is a free program that runs in a number of locations across South Eastern NSW and online. CPMP supports the needs of people with low to moderate pain severity. It requires a doctor's referral. Find out more.

 

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CONNECTING CARE IN THE COMMUNITY

Connecting Care in the Community is a care coordination service aiming to improve the lives of people in the Illawarra Shoalhaven who live with complex health needs due to chronic conditions such as diabetes, heart disease, and respiratory disease.

Provided by Grand Pacific Health, this service is jointly funded by COORDINARE and Illawarra Shoalhaven Local Health District. Find out more.

As a result of this service, NSW Health Integrated Care Outcomes Data (ICOD) has shown that the Illawarra Shoalhaven region experienced a 37% reduction in Potential Preventable Hospitalisations (PPH).

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INTEGRATED TEAM CARE (ITC)

Integrated Team Care (ITC) aims to improve care coordination and access to services for Aboriginal and Torres Strait Islander peoples across the region through:

For more information, see our ITC flyer.

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PARKINSON'S NURSE

Parkinson’s disease is a complex, neurodegenerative, and disabling neurological condition with no known cure. Presenting symptoms include slowness of movement, muscle rigidity, tremor, instability, depression, and anxiety. An estimated 80,000 Australians are currently living with this disease.

COORDINARE supports a nurse-led model of care for Parkinson’s. This model recognises the complexity and degenerative nature of Parkinson’s disease. It also ensures a general practice is designed to support the person with Parkinson’s and their carer / family across the entire trajectory of the disease.

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SHARED MEDICAL APPOINTMENTS (SMAs)

Shared Medical Appointments (SMAs) or ‘group consultations’ is a model of care that increases access to care, reduce costs, utilises peer support, and improves consumer and provider satisfaction. SMAs target a particular chronic condition and aim to improve health outcomes.

COORDINARE partners with Australasian Society for Lifestyle Medicine (ASLM) to fund SMA programs in the areas of weight management and smoking cessation. Find out more.

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SOCIAL PRESCRIBING PROJECT

Social prescribing is a means of enabling doctors, nurses, and other health care professionals to refer people with chronic conditions to a range of local, non-clinical services, with the aim of improving health and wellbeing outcomes.

COORDINARE has engaged Beacon Strategies to inform the development of a social prescribing model for people living with chronic health conditions in South Eastern NSW through a co-design process. A project called 'Collaborative Pairs' will inform the process, partnering six consumers with six health professionals to co-create a proposed model of care. Find out more.

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ST VINCENT'S HOSPITAL SYDNEY PAIN CLINIC TELEHEALTH SERVICE

The St Vincent's Hospital Sydney Department of Pain Medicine offers assessment, management services, and programs for patients experiencing persisting pain. The team includes pain and rehabilitation specialists, psychiatrists, physiotherapists, a psychologist, an anaesthetist, and a clinical nurse consultant.

Pain that lasts beyond the normal healing time of about three months is said to be chronic. People in South Eastern NSW can access this service via telehealth with a referral from a doctor. You can watch a video about the service or click here for more details.