Via open tender, SEMPHN commissions general practices to provide care coordination within their practice.

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. 

Twenty-seven general practices were commissioned in 2019 to deliver care coordination for patients with a chronic condition(s) or complex needs. The funding, between $125,000 and $250,000, also enabled general practices to address the after-hours health needs of these patients. Eleven of these general practices provided care coordination for over 100 refugee patients.

 A further twenty-five general practices were commissioned in 2021 to provide care coordination services for patients with chronic conditions over a period of two years.

Twenty-one practices were commissioned in 2022 for a period of two years. The commissioned practices in 2021-2022 also focused on patients' social and lifestyle needs.

In total, $16.8 million has been allocated to this program, across 10 local government areas in the south east.

The following practices received funding from SEMPHN: