$6.5 million for care in the south east of Melbourne

Thursday, 6 June 2019

Over 2,000 patients with chronic disease throughout South Eastern Melbourne will benefit from a new round of funding to general practices from the South Eastern Melbourne Primary Health Network (SEMPHN).

In one of SEMPHN’s largest funding offerings via open expression of interest, 28 general practices will receive funding between $125,000 and $250,000 to deliver care coordination for patients with a chronic condition(s). In total, $6.5 million has been allocated to this program, across 10 local government areas in the south east.

Congratulations to the following practices:

  • Bayside Family Medical
  • Casey Gate Medical Centre
  • North Road Medical Centre
  • St Kilda South Medical Clinic
  • Atticus Health - Hastings
  • Casey Medical Centre Clyde
  • High Street Medical Clinic
  • Hill Medical Services
  • Officer Medical Centre
  • McDonald Street Medical Centre
  • Mediclinic Clayton
  • Murray House Clinic
  • Prahran Health Care Clinic
  • Seaford Beach Family Clinic
  • Access Health/Salvation Army
  • Airlie Women's Clinic - Prahran East
  • Bluff Road Medical Centre
  • Casey Medical Centre Cranbourne
  • East Bentleigh Medical Group
  • Eastbound Medical Clinic
  • Eramosa Family Medical Centre
  • Hygieia Medical and Dental Clinic
  • Langpark Medical Centre
  • Dr Peter Pereira
  • Pakenham Family Health 
  • St Kilda Medical Group 
  • Whole Medicine
  • Your Health Place Medical Centre Glen Huntly.

Care coordination is a term used to describe working with a patient to develop a comprehensive plan that helps patients take more control of their health and achieve their goals.

Care coordination is for patients with a chronic condition(s), at risk of admission to hospital, or who may have complex needs (which include the social determinants of health). It is a patient-centred approach that involves the timely coordination of health, community and social services to meet a patient’s needs. It is a partnership between the patient, carers and providers.

Eleven of these general practices have identified that they will also provide care coordination for over 130 refugee patients.

“This funding initiative has been developed to further build capacity in general practice, to support comprehensive care of patients with chronic disease,” SEMPHN CEO, Dr Elizabeth Deveny said.

“The funding means that general practices will be able to recruit care coordinators to assist practices and patients in coordinating care for patients, including changing practice processes in the longer term to build more efficient patient-centred services,” she added.

The benefits of care coordination for patients are: 

  • Access to a coordinated team who know what support and intervention they need
  • Improved understanding of their health 
  • Proactive approach to their health 
  • Increased interaction with their care team 
  • Receive emotional, psychological and practical support  

The benefits of care coordination for practices include:

  • Opportunity to improve team interactions  
  • Building partnerships with providers of healthcare, social and community programs and patients 
  • Opportunity to be more innovative with care such as telehealth, health coaching, shared medical appointments 
  • Embedded team-based approaches that enhance patient care and improve care coordination efficiency in the practice
  • More flexibility, innovation and less duplication 
  • Through an integrated approach to care, staff remain up to date on patients’ progress or issues  


Chronic disease is a leading cause of illness and death and a most significant burden on the Australian health system. Three-quarters of Australians over the age of 65 have at least one chronic condition that puts them at risk of serious complications and premature death. People on low incomes have more chronic conditions and nearly twice the rate of avoidable hospital admissions as those with high incomes. 

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