NSW Chronic Disease Management Program “Connecting Care”

The NSW Chronic Disease Management Program “Connecting Care” aims to better connect General Practice, Specialist Medical, acute Hospital and Community Health services to provide improved patient centred coordinated care for patients with one or more of the following Chronic Diseases:

  •   Diabetes
  •   Chronic Obstructive Pulmonary Disease
  •   Coronary Heart Disease
  •   Congestive Heart Failure

Eligible patients are those aged 16 years and over who are at high risk of an unplanned presentation to the Emergency Department or hospitalisation.

The program is a partnership between the Western NSW PHN and the Western NSW Local Health District.

The local Connecting Care Program will be concentrating on two main areas:

  • Improved Information Management to advance communication in the care and coordination of enrolled patients across the acute and primary health care sectors, and
  • Adding capacity within General Practice to support patient care coordination, planning, monitoring and patient self-management.

Visit our resource page for further information and website links.

Contact Us

Kathleen Ryan -  Western Council Coordinator and Diabetes Shared Care Manager  Phone: 1300 699 167  Email: kathleen.ryan@wnswphn.org.au