Education and support is provided by specialist registered nurses for people with chronic disease (such as heart disease, high blood pressure, Chronic Obstructive Pulmonary Disease [COPD] and/or diabetes). Care Coordination and telephone based Health Coaching is provided to help clients manage their chronic conditions. A Shared Care Plan can be developed for clients in the program together with their doctor and other health service providers.
8.00am – 4.30pm (Mon-Fri)
Available to NSW residents over age 16. Clients must have a principle diagnosis of one of the Chronic Obstructive Pulmonary Diseases – Diabetes, Heart Disease, Heart Failure or Hypertension.
Access to the program is by Hospital admission, Cardiac, Respiratory or Diabetes services, GP’s referral, Practice nurses and Allied Health providers. Self or carer referrals are also accepted.