Chronic Disease

Chronic diseases are the leading cause of illness, disability and death in Australia.  With changing lifestyles and ageing population, chronic diseases have become increasingly common and now cause most of the burden of ill health.

Based on available data, the table below indicates some of the key priority areas in the south eastern Melbourne catchment.  This includes prevalent chronic diseases in the region, identified local government areas with higher-than-average chronic disease rates, and vulnerable population groups.

At risk areas

LocationDiagnosisVulnerable groups

Frankston
Dandenong
Casey
Cardinia

COPD/asthma
Heart disease
Musculoskeletal conditions
Kidney disease
Cancer
Diabetes
Dementia

Refugees
Homeless
Culturally and Liguistically Diverse (CALD) communities
Elderly 
Aboriginal and Torres Strait Islander people 

See more information about chronic disease for general practice and health professionals.

Contact SEMPHN about chronic disease programs: Email This email address is being protected from spambots. You need JavaScript enabled to view it. or call 1300 331 981 (Option 4).


After Hours

Managing a chronic disease can often mean people have needs outside of the general practice, and sometimes after the hours a practice is open. 

SEMPHN commissions activities to support people with chronic diseases to access the right care, in the right place at the right time. 

Read more about SEMPHN's commissioned After Hours services


Chronic disease management services

It is estimated that about half a million people in South Eastern Melbourne live with one or more chronic health conditions. The incidence of chronic disease is unevenly spread across our catchment.

We work with service providers to increase the efficiency and effectiveness of medical services for patients and improve coordination of care to ensure patients receive the right care in the right place at the right time.

For more information on chronic disease management, click here

Care Coordination

Read more about SEMPHN's commissioned Care Coordination services.

Health Care Homes

Read more about SEMPHN’s commissioned Health Care Homes program


Chronic disease prevention programs

Prevention activities play an important factor in keeping communities across south eastern Melbourne healthy. SEMPHN commissions prevention services and programs relating to cancer screening and Latent Tuberculosis. 

Cancer screening

Read more about SEMPHN's commissioned Cancer Screening services.


Latent Tuberculosis (LTBI) community project

Latent Tuberculosis Infection (LTBI) is an asymptomatic condition that may progress to active tuberculosis (TB), sometimes decades after exposure. Southern Metropolitan Region has a quarter of all cases of Tuberculosis in Metro Melbourne (DHS 2020 data). In Victoria, it is known that approximately 90% of tuberculosis cases occur in those born overseas, and from reactivation of latent tuberculosis infection more than 3-5 years after arrival. Treatment of LTBI can reduce the risk of developing active disease. However, with the exception of contact tracing following local exposure to tuberculosis, only limited systematic testing or treatment programs for latent tuberculosis infection operate in Victoria at present. 

Victorian Tuberculosis Program (VTP)

SEMPHN has commissioned Melbourne Health to expand the existing model of care developed between the Victorian Tuberculosis Program (VTP). This program supports general practitioners and other health providers in the PHN catchment to develop knowledge and skills, to identify, screen and treat individuals with or at risk of Latent Tuberculosis Infection (LTBI). Program services include: 

Provide VTP physician support for individual GPs (train and mentor)

Supply medications to participating pharmacies

Testing and medications provided at no cost to patients

Resources and materials for practices and patients across the region, including new materials responding to advances in practice and impact of the COVID-19 pandemic

CPD accredited education modules

Expand the existing GP community of practices amongst participating clinicians and teams 

Build on our pool of general practices who are acknowledged as an expert and point of referral for other
practices and services

Tools to help identify at risk populations

Why is this project needed?

While TB is an uncommon disease in Victoria, it continues to have significant impact on affected individuals and families. In Victoria, an estimated 300,000 people have latent TB, and efforts to diagnose it and prevent active disease are critically important.

This project contributes to WHO’s End TB Strategy 2016 to 2035, with the implementation of the community-based practice model of care for Latent Tuberculosis Infection (LTBI), to allow increased numbers of people at risk to be screened and managed to prevent TB. 

For more information, refer to the VTP website


Current and upcoming commissioning opportunities

You can register your interest for funding opportunities. You will receive updates about the tender process, including guidelines and timelines, when available.

To hear about future commissioning opportunities, subscribe to our commissioning newsletter, SEMaphore and register via eProcure.

For general information or queries about commissioning, email This email address is being protected from spambots. You need JavaScript enabled to view it.


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Funding Opportunities

Tenders, Quotes & Expression of Interest Portal

If you’re interested in applying for funding opportunities, register your interest on SEMPHN's eProcure page. Once you register, you’ll receive information as it’s released.

Register

Contact Information

Need help with Commissioning?

For more information about commissioning, please call 1300 331 981 (option 1) or email commissioning@semphn.org.au

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