Chronic Disease Community Program
About The Program
The Chronic Disease Community Program (CDCP) targets people with the following conditions:
- Cardiovascular diseases, in particular heart failure and unstable angina
- Diabetes
- Chronic obstructive pulmonary disease (COPD)
Enrolment in the Chronic Disease Community Program allows improved access to a range of services including:
- Telephone coaching
- Chronic Condition Self Management Support Programs
- The Easy Breathers Program for people with COPD and heart failure
- Allied Health Service
- Oral health interventions
- Home medicines review
- Diabetes Nurse Education
The Chronic Disease Community program is growing!
An invitation is extended to all GP surgeries in the southern metropolitan region to refer their eligible patients directly to the program. The Chronic Disease Community Program supports people with COPD, Heart failure, unstable Angina and Diabetes in the self management of their chronic condition with a range of services including Allied health, self management programs and telephone coaching.
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Further Information
For further information about the CDCP, please contact the CDCP liaison team ph: 0434 079 205 or 8201 7814, or downlaod the following documents:
Please visit our Templates and Forms page for the CDCP Referral Forms.
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What Are The Benefits?
- Faster access to appropriate health care services closer to home including Allied Health
- Easy systems of referral including common entry points and lists of accredited providers
- Access to a CDCP Liaison Officer to assist with referrals in the hospital and the community
- Guaranteed feedback from service providers in the community
- Ongoing multidisciplinary training for providers and referrers
- Consistent and accurate information available to consumers Who Is The Program For?
- People with heart failure, unstable angina, COPD and diabetes who are resident in the community
- People who may benefit from a range of self management options including education, skill development and support and monitoring to assist in managing their chronic disease and are motivated to participate
- People who are not in the stage of their chronic disease where palliative care is their primary focus
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Who Can Refer?
- General Practices in the Southern metropolitan region
- Hospital inpatient staff at Flinders MC, Repatriation General Hospital and Noarlunga Hospital
- Selected specialist outpatient clinics
- Selected community agencies
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Who Is The Program For?
- People with heart failure, unstable angina, COPD and diabetes who are resident in the community
- People who may benefit from a range of self management options including education, skill development and support and monitoring to assist in managing their chronic disease and are motivated to participate
- People who are not in the stage of their chronic disease where palliative care is their primary focus
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