With the right support and management, people living with chronic conditions can live well.
Delivered by
Silverchain, the Care Coordination Support Service (CCSS) is a free service supporting people living with chronic conditions to effectively implement care plans provided by their GP, while also supporting their social needs.
Where is this service provided?
This service is free and available across all ten local government areas in south eastern Melbourne: Glen Eira, Port Phillip, Mornington Peninsula, Casey, Stonnington, Greater Dandenong, Kingston, Bayside, Cardinia, Frankston.
Who is eligible?
All people aged 18 and over (15 and over for Aboriginal and Torres Strait Islanders), living in the above listed LGAs, with a chronic condition or complex needs, and limited access to multidisciplinary care are eligible for this program.
Benefits for your practice
Feel confident that your care plan and clinical advice is being implemented. Benefits include:
- Coordination complements care plans provided by you
- Patients receive care in between GP visits
- More time to see other patients
- No cost to general practices or patients
- GPs retain all eligible MBS billing for their patients
- Receive regular updates on patient progress and activity
- The service consists of experienced social workers, allied health professionals and registered nurses.
- Eligible patients are linked to social services such as Centrelink, and the Department of Families, Fairness and Housing
- Simple referral process
Benefits for your patients
Patients will be supported in their community in between GP visits. Benefits include:
- Free care coordination tailored to their needs
- Time with clinical staff to review, progress and address clinical and social/lifestyle needs prescribed by their GP
- Online or face-to-face appointments at home or a safe place of choice
- Help exploring and booking social services and programs to support overall wellbeing
- Assistance with referrals, filling prescriptions, booking appointments and transport
- Reminders for GP and healthcare appointments
- Up to three months of support
- Retain their own GP
.
Refer Now
For more information or to make a referral, visit: www.silverchain.org.au/refer-to-us/victoria
The CCSS is delivered by
Silverchain and funded by South Eastern Melbourne Primary Health Network.
South Eastern Melbourne PHN
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SEMPHN acknowledges the Bunurong and Wurundjeri peoples of the Kulin Nation, the Traditional Owners and Custodians of the lands, waters, and skies in which we work. We pay our respects to their Elders past and present. We also acknowledge all First Nations peoples with whom we work. Sovereignty was never ceded!