Care Coordination for Aboriginal & Torres Strait Islander people

Care Coordination and Supplementary Services (CCSS)

Improving health for Aboriginal and Torres Strait Islander people by helping you learn the skills to manage your own health and wellness journey.

Our CCSS service can match people who have long-term illnesses with a Care Coordinator. Your experienced Care Coordinator has a wide range of knowledge about local health and community services and will help you learn how to manage your health and wellbeing. They can help you with ways to manage the stress and confusion that can come from living with a long term illness.

Your Care Coordinator can:

Yarn with you about your illness
Suggest ways that you can look after your own illness on a day-to-day basis
Yarn to you about how health professionals and support services can support you
Suggest long term support services and funding options that might be available to you

Supplementary Services

Funding can be made available to help you with some costs associated with your health and wellbeing. Your Care Coordinator will assess your individual situation to see if you are eligible for this support.

Who is the service for?

You may be eligible for this service if you:

identify as Aboriginal and/or Torres Strait Islander
live within the Newcastle and Hunter Region
have a complex long-term illness.

Some of the conditions that may be eligible for support include:

diabetes
eye and health conditions associated with diabetes
mental health conditions
cancer
cardiovascular disease
respiratory disease
long-term renal disease

Lifestyle Support Groups

Hunter Primary Care's CCSS team have developed a revolutionary way of managing long term illness through the CCSS program in the form of online Lifestyle Support Groups.

CCSS clients are offered a series of virtual health consultations in a supportive group setting where all involved can listen, interact, and learn from each other.

These clients have access to:

An Exercise Physiologist to support you to be more active
A Dietitian who can teach you healthy eating and cooking skills
Aboriginal Health Workers to support your cultural wellbeing and safety
Occupational Therapists who will help you develop, recover and maintain meaningful activities
Registered Nurses to help you learn more about your health, and support you to achieve your health and wellbeing goals; and
A Social Outreach Worker to provide support to those experiencing social isolation.

Case Study - Meet Leah

Leah is 49 years old. She has had Type 2 Diabetes for ten years.
Leah also has high blood pressure, sleep apnoea and a history of depression, panic attacks and social anxiety. Leah does not leave her home often.

Leah joined Hunter Primary Care's online Lifestyle Support Groups in April 2021.

Click here to find out more

The online Lifestyle Support Groups is an Award Winning program, recently winning the 'Supporting Patients through Technology' Award at the 2022 Primary Care Quality and Innovation Awards.

More information

For more information about Care Coordination and Supplementary Services, contact Hunter Primary Care’s Care Coordination and Supplementary Services team on (02) 4925 2259 or email concierge@hunterprimarycare.com.au.