Chronic Disease Management

Chronic disease care and care plans

We offer individualised care plans for all chronic diseases. Chronic Disease Care plans (GP Management Plans) are a feature of quality general practice, where your doctor prepares a careful review of your health needs, and together you set goals and action plans to optimise your health and quality of life.  Your GP Management Plan can assist you in accessing medicare benefits to reduce the cost of allied health visits (Team Care Arrangements).

How to be involved

Your doctor can arrange specialised team care arrangements, and liaise with your other health providers, where appropriate.

Medication reviews with your pharmacist may be recommended. You will be invited to participate in regular care plan reviews.

There are special programs for patients with asthma and diabetes.

Routine health care assessments are arranged for particular age groups:

  • 4 years

  • 45-49 years

  • Over 75 years of age

Special medicare rebates are available for these initiatives.

Asthma

  • Our goal is to help you in managing your asthma in order to achieve your best possible lung function and to keep symptoms and exacerbations to a minimum.

  • Specialised lung function tests (spirometry) are performed on site to assist with diagnosis and monitoring of asthma.

Diabetes

  • To prevent complications with diabetes, it is important to monitor and control cholesterol, blood pressure and kidney health as well as glucose levels and body weight.

  • We work together with our nurse practitioner, dieticians, specialists and exercise physiologists to help you manage your diabetes.

Aged health assessments

  • If you are 75 years of age or over, one of our nurses will contact you to arrange an annual health assessment.
  • Your nurse will discuss issues affecting your safety and independence as well as checking your medications.

Our Team

Dr Joseph Murphy
Joe graduated from UWA, before completing his hospital training at Fiona Stanley and Fremantle Hospital. He has a keen i...
Dr Joseph Murphy
Dr Hoda Hall
Dr Hall has recently joined Ellen Health and practices on Thursdays and Fridays. She is looking forward to building trus...
Dr Hoda Hall
Dr Ann-Sofie Pokrant
An experienced GP, Dr Pokrant’s special interests lie in women’s health and family medicine, and she’s skilled in ...
Dr Ann-Sofie Pokrant
Dr. Liz Davidson
Liz began her General Practice training in 2012, working initially in Fremantle, followed by a year in Midland and a yea...
Dr. Liz Davidson
Dr. Michelle Musca
About Dr Michelle Musca was born and raised in Perth, and completed her medical degree at the University of Western Aust...
Dr. Michelle Musca
Dr. Linda Muntz
Dr Muntz completed her medical degree at the University of Western Australia in 1991 and then worked at Fremantle Hospit...
Dr. Linda Muntz
Dr. Elizabeth Jaskolski
Dr Jaskolski says “I absolutely love being a GP, and I take pride in developing strong relationships with my patients ...
Dr. Elizabeth Jaskolski
Dr. Nathalie Departe
Joined Ellen Health in July 2014. Previously she worked as a GP in Geraldton, Fremantle GP after hours service and ...
Dr. Nathalie Departe
Jille Burns
In 2011 Ellen Health were delighted to be one of the first practices in WA to welcome an independent nurse practitioner ...
Jille Burns