Integrated Team Care

The Integrated Team Care (ITC) program helps Aboriginal and Torres Strait Islander people with long-term health conditions, like diabetes, chronic kidney disease and mental health.

What can the ITC program help with?

  • Travel and accommodation for medical appointments
  • Assistance with medical aids or equipment*
  • Support with costs for specialists, allied health, or test appointments
  • Support to help you manage your health

*subject to Federal Government guidelines

What are the benefits of ITC?

ITC can:

  • Ensure you have timely access to specialist and allied health services
  • Make sure your care is well organised
  • Help you better understand your health condition and medications
  • Support you to stay on track with your healthcare plan
  • Connect you with other services that can help

Integrated Team Care logo with tagline

Designed for

Aboriginal & Torres Strait Islander people who:

  • Have any long term (chronic) disease diagnosed by your GP. This can include:
    • Diabetes and eye related conditions
    • Cardiovascular
    • Chronic Kidney Disease
    • Chronic Respiratory Disease
    • Cancer
    • Liver Disease
    • Mental illness (you must have a Mental Health Treatment Plan)
  • Have a current GP Chronic Condition Management Plan (GPCCMP) or GP Management Plan (GPMP) and Team Care Arrangements (TCA)
  • Have a referral from your Doctor (GP)
  • Live in the Western or Far West NSW region

If you’re not sure if you have a GPCCMP/GPMP, ask your Doctor or Aboriginal Health Worker.

Service Region

  • Whole of region

Accessing this service

Have a yarn with your Doctor

The first step is talking to your usual Doctor (whether that’s at an AMS or a mainstream practice) about the ITC program. They will assess your eligibility and refer you to the program if you meet the eligibility requirements. If you meet the eligibility requirements, you will need a GP Chronic Condition Management Plan (GPCCMP) to access the program.

Need a GP Chronic Condition Management Plan (GPCCMP)?

A GPCCMP helps your doctor to coordinate your chronic conditions. Ask reception for a longer appointment with your Doctor or Aboriginal Health Worker to make a GPCCMP.

Service provider

If your usual doctor is at an AMS, ITC is provided on-site.

If your usual doctor is a local GP at a mainstream general practice, ITC is delivered through their regional provider, as per the following region breakdown based on Local Government Areas:

Maari Ma Aboriginal Health Corporation
(08) 8082 9777
Covers: Balranald LGA, Broken Hill LGA, Central Darling LGA, Unincorporated Far West LGA, Wentworth LGA

Walgett Aboriginal Medical Service
(02) 6820 3777
Covers: Bourke LGA, Brewarrina LGA, Cobar LGA, Walgett LGA

Coonamble Aboriginal Health Service
(02) 6822 0000
Covers: Bogan LGA, Lachlan LGA, Narromine LGA, Warren LGA, Coonamble LGA, Dubbo Regional LGA, Gilgandra LGA, Mid-Western Regional LGA, Warrumbungle LGA

Yoorana Gunya Family Healing Centre Aboriginal Corporation
(02) 6850 1222
Covers: Cowra LGA, Forbes LGA, Parkes LGA, Weddin LGA

Orange Aboriginal Medical Service
(02) 6393 9000
Covers: Bathurst Regional LGA, Blayney LGA, Cabonne LGA, Oberon LGA, Orange LGA