Chronic Disease Management in Gympie
Ongoing GP care for long-term conditions, with a written care plan, regular reviews and, where it helps, a team of allied health professionals working with your GP.
- New patients welcome
- Written care plan
- Medicare care plans available
Long-Term Conditions Need Steady, Local Care
Living with a long-term condition means regular checks, medicines that need adjusting, and someone to call when something changes. Chronic disease management is a structured way of doing that with your GP. It is part of our GP services in Gympie, and it is designed for people who would rather have one clear plan than a series of unrelated appointments.
Our GPs manage conditions such as diabetes, heart disease, asthma and COPD. Where it helps, we also arrange a team of allied health professionals, such as an exercise physiologist, dietitian or diabetes educator, and share one plan between everyone involved in your care.
Mary Valley Family Practice is a new general practice at 48 Reef St, Gympie. We see patients from Gympie, Southside, Monkland and the Mary Valley, so you can keep your care close to home.
Chronic Care Services at Our Gympie Clinic
Regular reviews and a clear plan, so you know what to monitor and when to come back.
Diabetes Care
Regular reviews for type 2 diabetes, including blood glucose and HbA1c results, medicines, foot and eye checks, and healthy eating and activity goals.
Heart Disease and Risk Management
Blood pressure, cholesterol and cardiovascular risk checks, with a plan for medicines, lifestyle changes and when to be seen urgently.
Asthma Management
Asthma action plans, inhaler technique checks and review of how often you need your reliever, so flare-ups are caught early.
COPD Care
Lung function testing (spirometry) where needed, inhaler and oxygen review, and a plan for flare-ups and pulmonary rehabilitation referral.
GP Care Plans and Team Care
A written GP Management Plan, and where helpful a Team Care Arrangement with allied health. Your plan is reviewed regularly and given to you in writing.
One Plan, One Team, Your Local GP
Your GP Knows Your Plan
The same GP follows your condition over time, so reviews build on what has already been done rather than starting again.
Written and Shared
You receive a copy of your care plan. With your permission, we share it with the allied health professionals and specialists involved in your care.
Close to Home
Gympie and the Mary Valley have fewer local specialists than the coast. We aim to keep reviews, monitoring and follow-up here in town where possible.
What Chronic Care Can Look Like
Three common situations, and how your GP would approach each one.
Newly Diagnosed Type 2 Diabetes
The concern: you have just been told your blood sugar is high and you don’t know what comes next.
What happens: your GP explains your results, starts a care plan, sets goals for HbA1c, and arranges foot and eye checks and follow-up blood tests.
Asthma That Keeps Flaring Up
The concern: you are using your reliever more often and waking at night.
What happens: your GP checks your inhaler technique, reviews your asthma action plan, and adjusts your preventer if needed.
Heart Risk and Blood Pressure
The concern: your blood pressure has been high at recent checks and your family has a history of heart disease.
What happens: your GP checks your overall cardiovascular risk, discusses medicines and lifestyle changes, and books a review to see how the plan is working.
Your Chronic Care Plan, Step by Step
Book a Review
Book online or call us. Tell reception you would like to talk about a long-term condition, so the appointment is long enough.
Bring Your Details
Bring your Medicare card, a list of your medicines, and any recent blood test, lung function or blood pressure results you have.
Build Your Plan
Your GP reviews your condition, sets goals with you, and writes your care plan. Where it helps, we also arrange allied health support.
Review Regularly
You leave with a copy of your plan and a date for follow-up. We check your progress over time and update the plan as your needs change.
Visited Our Gympie Clinic?
We’d love to hear about your experience at Mary Valley Family Practice, from booking your appointment to how welcome you felt in the clinic. Your feedback helps us improve and helps other Gympie families find a local GP.
Under Australian health advertising rules, we don’t publish patient testimonials about clinical care on our website. You’re welcome to share your experience on Google.
Leave a Google ReviewChronic Disease Management FAQs
What is chronic disease management?
It is a structured approach to long-term conditions such as diabetes, heart disease, asthma and COPD. Your GP reviews your condition, sets goals with you, and writes a care plan that is updated over time.
What is a GP Management Plan?
A GP Management Plan is a written plan for managing a chronic or complex condition. It sets out your goals, treatments and the support you need, and is reviewed regularly. Medicare rebates apply to eligible plans and reviews.
What is a Team Care Arrangement?
A Team Care Arrangement brings your GP and allied health professionals together to work on one plan for you. Medicare rebates apply to eligible arrangements, and there is a limit on the number of allied health services covered each calendar year.
Do I need a referral?
No. You can book a chronic care review directly with our GPs. If you need a specialist, your GP will refer you.
How often should I have a review?
It depends on your condition and how well it is controlled. Your GP will tell you when to come back, and many people have a review every few months at first.
Can you help with diabetes care in Gympie?
Yes. We manage type 2 diabetes with regular blood tests, medicine reviews, foot and eye check referrals, and a plan for healthy eating and activity. Our diabetes care is part of this chronic disease service.
Do you manage heart disease and blood pressure?
Yes. We check blood pressure, cholesterol and overall cardiovascular risk, and discuss medicines and lifestyle changes. If you have chest pain or severe breathlessness, call 000.
Do you see patients with asthma or COPD?
Yes. We review asthma action plans and inhaler technique, and manage COPD with lung function testing where needed, inhaler review and pulmonary rehabilitation referrals. For children’s asthma, see our children’s health page.
Can an allied health professional be part of my plan?
Yes, where it helps. Your GP can arrange a Team Care Arrangement with allied health professionals. Ask us at your appointment whether this is right for you.
What should I bring to my review?
Bring your Medicare card, a list of your medicines, your asthma or diabetes diary if you keep one, and any recent test results or blood pressure readings.
How much does a chronic care review cost?
The cost depends on the type and length of the appointment. Please see our Fees and Billing page, or call us for details.
Dr Sudhir Marathe
Dr Sudhir Marathe is an experienced GP with more than 25 years in general practice. Dr Marathe reviewed the medical content on this page.
Meet Our Gympie GPsSources: Australian Government Department of Health, Disability and Ageing (MBS items for GP Management Plans and Team Care Arrangements); healthdirect (chronic conditions).
Care Review in Gympie.
New patients are welcome. Book online, or call our friendly team to find a time that suits you.
QLD 4570, Australia