Chronic and complex disease management

Support for adults with chronic conditions

We understand that every person has different needs and different wishes and that's how our team of caring experts can help.

If you experience limitations as a result of a chronic condition or have a life limiting illness and wish to receive care at home, support is available.

We work together with a range of partners to co-design and deliver innovative care programs. Our locally based health and community partners include, for example WA Country Health Service, WA Primary Health Alliance and Asthma WA.

Our capability and expertise enables us to provide a diverse offering of programs across different chronic conditions.

Health Navigator Program

Our Health Navigator Coordinators work with people who have chronic health conditions to help you identify health concerns and problems, and develop a personalised plan to improve your health and wellbeing. This might include linking you with other services, providing you with information about your conditions or supporting you to make a change in your life. 

We work alongside health care professionals you are already seeing, such as your GP. You can choose to access this service over the phone or by using video conferencing.

Chronic Obstructive Pulmonary Disease 

For people with chronic obstructive pulmonary disease (COPD), this program helps you to get back on your feet after a stay in hospital by working towards your goals, as well as providing support and education.

Our care team will complete a holistic assessment with you to ensure you have appropriate referrals, prescriptions and the supports you need for you respiratory condition and any other health conditions you may have.

Following this, Asthma WA’s Respiratory Health Team will work with you to provide COPD education and support for a period of three to six months.

This program is supported by WA Primary Health Alliance.