Chronic Care Clinic at The Village GP Black Rock

Preventative Health Assessments

Prevention is at the heart of good health, even when you feel well. Our Preventative Health Assessments are designed to help you identify health risks early, monitor key health indicators over time, and adopt lifestyle changes that support long-term wellbeing.

We offer comprehensive health assessments for all life stages: adolescents (from age 14), adults (especially 45–49), seniors (75+), and heart-health checks for those at increased risk.

What’s involved

• Detailed medical and family history review to spot hereditary health risks.

• Lifestyle evaluation (diet, exercise, sleep, habits) to support healthy living and prevention.

• Physical measurements and vital checks (e.g. blood pressure, weight, waist circumference), simple yet powerful indicators of future health outcomes. 

• Age-appropriate screening tests, for heart health, diabetes risk, cholesterol, and more, depending on your life stage and health profile.

• A personalised plan with follow-up recommendations and referrals when needed. 

Whether you’re a young person aiming for long-term wellness, a busy adult balancing family and work, or entering your senior years, our Preventative Health Assessments can help you stay ahead of health risks and maintain your quality of life.

GP Chronic Care Management Plans

At The Village GP Black Rock, we understand the importance of structured, ongoing care for those living with long-term health conditions. Our Chronic Care Management Plans (GPCCMPs) provide a coordinated and personalised approach to help you manage your condition, maintain your health, and improve your quality of life.

What Is a GPCCMP?

A GP Chronic Care Management Plan is a detailed care plan developed collaboratively between you and your GP. It provides an organised approach to managing chronic or terminal conditions and may include referrals to allied health professionals, such as physiotherapists, podiatrists, dietitians, or audiologists.

Your GPCCMP will:

• Identify your current health needs and treatment goals
• Outline the healthcare services your GP and care team will provide
• List the actions you can take to help manage your condition effectively
• Include access to subsidised allied health visits (if eligible) through Medicare

Who Is Eligible?

You may be eligible for a GPCCMP if you have one or more medical conditions that have been, or are likely to be, present for six months or longer. Common examples include Diabetes, Asthma, Heart Disease, Arthritis, Cancer, and Chronic Pain.

Your GP will assess your individual situation to determine eligibility and create a plan that best supports your ongoing care needs.

Regular Reviews

Once your plan is in place, regular reviews are essential to ensure it remains relevant and effective. These reviews help track your progress, address any changes in your health, and update your care goals.

Reviews are typically scheduled every 3–6 months, or sooner if required, to make sure your care plan continues to meet your needs.

Take the Next Step

Managing a chronic condition is easier with the right support. Book an appointment with your GP today to discuss a Chronic Care Management Plan and take an active role in your long-term health.

»

Mental Health Support

At The Village GP Black Rock, we recognise that mental health is just as important as physical health. Whether you're experiencing ongoing stress, anxiety, depression, or other psychological challenges, early support and structured care can make a meaningful difference in your wellbeing.

What Is a Mental Health Care Plan?

A Mental Health Care Plan (MHCP) is a personalised plan developed with your GP to help you access the right support and treatment. It outlines your mental health needs, identifies goals, and connects you with suitable mental health professionals such as psychologists, counsellors, or psychiatrists.

Your MHCP will typically include:

• A clear understanding of your mental health concerns

• Goals and strategies to support your wellbeing

• Referrals to mental health specialists for ongoing therapy or assessment

• Access to Medicare-subsidised psychology sessions (if eligible)

Who Is Eligible?

You may be eligible for a Mental Health Care Plan if you are experiencing symptoms of a mental health condition, whether short-term or ongoing. Common concerns include anxiety, depression, stress, grief, adjustment difficulties, or trauma-related issues.
Your GP will work with you to understand your needs and determine the most appropriate pathway.

Regular Reviews

Mental health needs can evolve over time, which is why regular reviews are important. These check-ins allow your GP to monitor progress, adjust your plan, and ensure you continue receiving the right level of support. Reviews are generally recommended every 3–6 months or sooner if needed.

Take the Next Step

Seeking support is a strong first step towards improving your mental wellbeing. Book an appointment with your GP to discuss a Mental Health Care Plan and start building a pathway toward better emotional health.

Eating Disorders

At The Village GP Black Rock, we understand that eating disorders are complex medical and psychological conditions that require compassionate, structured, and ongoing care. Early support can make a significant difference, and our team is here to guide you every step of the way with a respectful, non-judgmental approach.

What Support Do We Offer?

Our GPs provide thorough medical assessments, ongoing monitoring, and coordinated care plans tailored to your individual needs. This may include:

• Understanding your symptoms, concerns, and overall physical and mental health

• Developing a personalised care plan to support nutritional, psychological, and physical wellbeing

• Coordinating care with specialists such as psychologists, dietitian's, or eating-disorder treatment services

• Regular health monitoring to assess vital signs, weight stability, and markers of physical health

• Supporting families and carers to ensure a strong, informed support network

Our goal is to help you access the right treatment early and to provide consistent follow-up as you progress through recovery.

Who Might Need Support?

You may benefit from an Eating Disorder assessment if you are experiencing any of the following:

• Significant changes in eating habits

• Excessive focus on weight, food, or body image

• Rapid weight loss or gain

• Feelings of guilt, shame, or anxiety around eating

• Physical symptoms such as dizziness, fatigue, or digestive issues

If any of these concerns resonate with you, our GPs are here to provide confidential, compassionate guidance.

Regular Reviews

Eating disorder management requires close and continuous care. Regular reviews allow your GP to monitor your medical stability, adjust your care plan, and ensure you have the support you need across all areas of recovery.

Take the Next Step

If you or someone you care about may be struggling with an eating disorder, reaching out is an important first step. Book an appointment with your GP to discuss an Eating Disorder care plan and begin your recovery journey with the support of a trusted medical team.