Thorpe Street Health — Integrated health. Rooted in you.

Our services

Chronic Disease Management in Rockingham

Ongoing care for diabetes, blood pressure, heart and lung conditions — with reviews that actually happen and allied health in the same building.

A GP going through a long-term care plan on screen with an older patient at Thorpe Street Health
  • Who it suits

    Ongoing conditions

    Anything that needs managing rather than curing

  • Care plans

    GP-written

    Prepared by your own doctor, not a template

  • Allied health

    On site

    Exercise physiology in the same building

  • Referral needed

    No

    Book directly with any of our doctors

What we cover

Conditions We Help You Manage

These are the things people most often book us for.

  • Diabetes

    Type 1 and type 2 — monitoring, medication reviews, feet and eye checks, and referral to the services that support them.

  • Blood pressure and cholesterol

    Regular monitoring, medication adjustment, and the cardiovascular risk conversation that goes with both.

  • Asthma and lung conditions

    Asthma, COPD and chronic cough — action plans, inhaler technique, spirometry referral and seasonal planning.

  • Heart conditions

    Ongoing management alongside your cardiologist, medication reviews, and coordination after a hospital admission.

  • Arthritis and chronic pain

    Pain that has outlasted the injury, joint conditions, and the movement plan that usually matters more than the script.

  • GP care plans

    Chronic Disease Management plans and Team Care Arrangements, written properly and reviewed rather than filed.

  • Medication reviews

    A full look at everything you take together — interactions, duplication, and whether it is all still needed.

  • Coordination

    Specialists, allied health, imaging and hospital letters pulled into one plan instead of five separate ones.

In detail

What a GP Care Plan Covers

A long-term condition is rarely one problem. Diabetes brings feet, eyes, kidneys and heart risk with it; blood pressure brings medication side effects and cardiovascular risk. Managing it well means someone holding all of that at once rather than treating whichever part turned up today.

That is what a GP care plan is for. Not paperwork — a written agreement about what gets checked, how often, by whom, and what happens if a number moves in the wrong direction.

In detail

Starting Your Care Plan

A care plan that generates a referral you never use has achieved nothing. The most common failure is not the plan — it is the gap between writing it and anything happening.

How we work

GP and Exercise Physiology Together

Chronic conditions usually need more than a doctor, which is why the exercise physiologist works from the same plan and in the same building.

  1. One building

    Your doctor and your exercise physiologist are down the same corridor, so a plan does not stall on logistics.

  2. One plan

    The care plan and the exercise programme are the same document, not two that happen to mention each other.

  3. One set of notes

    Progress comes back to your GP, so your review starts from what actually happened rather than what was intended.

What happens

What happens at your appointment

  1. A long appointment

    Chronic conditions do not fit a standard slot. Ask reception for a long appointment when you book.

  2. The full picture

    Your doctor goes through every condition, every medication, and what has changed since last time.

  3. A written plan

    What gets checked, how often, and who else is involved — agreed with you, not handed to you.

  4. Reviews that happen

    A review date is set before you leave, and reception will remind you when it comes around.

Common questions

Frequently Asked Questions

Clear answers to the practical details patients need before booking or visiting the practice.

It is a written plan your doctor prepares for a condition expected to last six months or more. It sets out what is being managed, what gets checked, and which other health professionals are involved, and it is reviewed regularly rather than written once.

More common questions

Book an Appointment

Book online with a GP, or call reception for exercise physiology.

If we are closed

In an emergency call 000 or go to Rockingham General Hospital — the emergency department, open 24 hours. If you need a GP outside our hours, Get Better Doctors is our after-hours service.

1800 238 837
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