The General Practice response to Chronic Disease

1. The General Practice response to Chronic Disease 23 November 2009

2. Discussion points: • General Practice in Queensland • General Practice contribution to the prevention and management of chronic disease • Future directions for chronic disease prevention and management

3. General Practice Divisions The General Practice Network

4. What is general practice? “General practice is the provision of primary continuing comprehensive whole-patient medical care to individuals, families and their communities.”Royal Australian College of General Practitionerswww.racgp.org.au

5. What is the role of general practice? • First point of contact for many people seeking help from the health care system – 88% of people see a GP annually (4-5 times per year on average) • Provides a gateway to the broader health care system • Provides ongoing health care and coordination • Provides effective health promotion and early intervention strategies

6. General Practice • General practice is supported through divisions network • Divisions network advocates for general practice as a whole • A multidisciplinary team approach enhances patient care • IT improvements – internet/email, electronic prescribing, secure messaging, e-health records • A changing patient profile

7. Queensland Profile

8. Queensland Divisions • Statewide network • Responsive to local community needs • Provides an effective mechanism for implementing and managing health initiatives • Fosters relationships between and across the primary health care sector • Ability to lead change in the primary health care sector

9. Preventing and managing chronic disease:MBS Item number – Qld uptake

10. Preventing and managing chronic disease:Collaboratives – Chronic Heart Disease (CHD)

11. Preventing and managing chronic disease:Collaboratives – Diabetes (DIA)

12. Preventing and managing chronic disease:Chronic Disease Coordinators • Advance the development and implementation of the system enablers for chronic disease prevention and management through: • Mapping and Scoping Exercise • Health Summit Chronic Disease • Call to Action • 1. Advancing a whole of population approach in preventing chronic disease • 2. Enhancing system elements - Embedding Self Management • 3. Enhancing system elements - Building Workforce Capacity • 4. Provide effective systems for Co-ordinated Care • Chronic Disease Map

13. Preventing and managing chronic disease:Chronic Disease Coordinators • Partnership Development • Education and Training • Communication Strategies • Resource Development • Prevention Activities

14. Preventing and managing chronic disease:Future Directions • Prevention of Chronic Disease, address of lifestyle risks • Integrated, coordinated multidisciplinary care • Strengthened partnerships • Greater consumer engagement for self management • Enhanced systems to enable communication • Quality data to support evaluation • A whole of population approach, addressing the needs of marginalised groups

15. Preventing and managing chronic disease: Future Directions • General Practice is a significant contributor to chronic disease prevention and management as the frequent point of contact for engaging and responding to consumers, carers and the community.

16. Thank you