351-353 Pacific Highway Asquith, NSW 2081
Chronic Disease Management
At Asquith Doctors, experienced general practitioners (GPs) provide comprehensive and coordinated care for people living with long-term or complex health conditions. Chronic disease management focuses on maintaining stability, reducing complications and supporting better day-to-day health through regular medical review and teamwork between healthcare providers.
The GPs take a preventive approach, helping patients manage conditions such as diabetes, heart disease, asthma, high blood pressure, arthritis, osteoporosis and chronic lung disease.
What Is Chronic Disease Management?
Chronic disease management is an organised system of medical care for conditions that last six months or longer. These conditions often need regular monitoring, medication review and ongoing lifestyle support.
Patients benefit from a GP Management Plan, a written document that outlines current treatments, goals and care strategies. For those requiring support from multiple practitioners, a Team Care Arrangement can also be developed to include allied health professionals such as physiotherapists, dietitians or podiatrists.
Seeing a GP for chronic disease management helps with:
- Monitoring symptoms and test results over time
- Coordinating care between different specialists and allied health providers
- Adjusting medications safely and effectively
- Reducing the risk of complications or hospitalisation
- Receiving practical advice on diet, exercise and healthy living
This structured, ongoing care model enables patients to take an active role in their health while ensuring that treatment plans are reviewed and updated regularly.
What to Expect During Your GP Appointment
A chronic disease management consultation at Asquith Doctors begins with a detailed discussion of your medical history, current medications and any recent test results.
The GP will ask about lifestyle factors, symptoms and treatment responses to gain a full understanding of your health.
Together, you and your GP will develop a management plan that outlines agreed goals and steps for ongoing care. The plan may include regular blood tests, medication reviews, and appointments with allied health professionals for physiotherapy, nutrition, podiatry or mental health support.
Follow-up reviews are usually scheduled every three to six months to monitor progress, discuss results and adjust the plan if needed. These reviews help to keep your care current and ensure all providers involved are working toward the same health goals.
Why Choose Asquith Doctors for Long-Term Care?
Asquith Doctors is a trusted local clinic providing long-term, patient-centred care for people with chronic illnesses. The practice offers continuity with dedicated GPs who understand each patient’s medical history, treatment preferences and ongoing needs.
Care is coordinated in one accessible location with on-site pathology, convenient appointments and electronic record management to ensure results and updates are shared efficiently. The GPs focus on clear communication, explaining test results and management options in straightforward terms so patients can make informed decisions about their health.
The clinic also maintains strong relationships with specialists and allied health professionals across the Upper North Shore, allowing seamless referrals and follow-up when more complex care is needed. This collaborative approach ensures every patient receives comprehensive, well-organised medical support.
Fees and Medicare Rebates
Asquith Doctors participates in the Australian Government’s Bulk Billing Practice Incentive Program, allowing most GP consultations to be bulk billed for Medicare-registered patients through MyMedicare.
Eligible patients can also access Medicare rebates for GP Management Plans, Team Care Arrangements and regular plan reviews. The reception team can confirm eligibility and any out-of-pocket costs before your appointment.
Frequently Asked Questions
Book an Appointment Today
Asquith Doctors is a bulk-billing GP clinic for Medicare-registered patients.
Comprehensive, community-focused care for residents of Asquith, Hornsby, Mount Colah and surrounding suburbs. Book online or phone 02 9477 4400.