Community Chronic Care Program (CCCP)

Overview

Information for Health Professionals

The Chronic Care Program is a person-centred, self-management program. The Chronic Care Team (CCT) provides support and education for individuals living with chronic illnesses, focusing on strengthening self-management strategies and optimising care to reduce the risk of avoidable hospital admissions. This is a goal-focused, time-limited program delivered over approximately 2–3 months. The team supports clients in setting and working towards personalised health goals, while coordinating communication between clients, healthcare providers, and relevant government services.

The service also provides virtual education sessions on differing topics including falls prevention, benefits of exercise and staying active, emotional wellbeing, managing chronic health conditions etc. We offer non-pharmacological support for managing anxiety and breathlessness, culturally appropriate care and nursing guidance. The Chronic Care Program works collaboratively with a multidisciplinary team of professionals to achieve the best possible outcomes for people living with chronic conditions.

Click here for information on service inclusions, referrals, and patient inclusion and exclusion criteria.

 

 

Contact Information

8am to 4:30pm, Monday to Friday with most consultations and interventions delivered virtually