Is it time to innovate?
The GP Plus initiative provides support packages to General Practice to undertake important practice reform.
Burden of Chronic Disease
As the burden of chronic disease increases within the community it will continue to impact on general practice demand.
Building systems
The ability to systematiclly provide chronic disease care and coordination will become a critical issue for general practice to manage this demand.
Effective Team Members
Practice Nurses who provide some of the care and coordination needs for these patients have been demonstrated to be effective.
GP Plus Practice Nurses are effective general practice team members
Applications
GP Plus Practice Nurses
A practice nurse is a Registered or Enrolled Nurse who is employed in the General Practice Setting and who provides general and / or specialist nursing services to General Practice. Nurses seeking employment in general practice may apply through this website.
Go to position description
Practices participating in the GP Plus Initiative complete a program of training and orientation to equip them with the skills and knowledge to provide particular focus on chronic disease management and care coordination services. In addition the practice nurse assists in the development of systems to underpin chronic disease management and care coordination of the patient at risk of hospitalisation .These activities include case finding , assessment, care planning, data management and patient recalls and registers.
As part of a tailored support package the GP Plus Practice Nurse is supported by an experienced Practice Nurse Mentor and /or Care coordinator from the local Division of General Practice.
General Practice
General Practices located within the metropolitan Divisions can apply for access to the GP Plus Practice Nurse tailored support packages.
Care Coordination Package
A Care Coordinator employed at the local Division of General Practice will collaborate and support general practice teams to provide comprehensive care to patients at risk of a hospitalisation.
The Practice Nurse and Care Coordinatior will be involved in:
- case finding
- needs identification
- comprehensive assessment
- care planning
- information and referral services
- system navigation.
Care coordination aims to support patients with comprehensive care that will allow them to access services to prevent hospitalisation.
Education
Practices will participate in 2 team learning workshops, with a focus on buliding the practice team and using the improvement model for quality improvement activities.
Nuses will also participate in Nuse education including:
- Orientation
- Advance care directices
- Health coaching
- Care coordination Forum