Type 2 Diabetes
Annual cycle of care — HbA1c, eyes, feet, kidney function, lipids, lifestyle.
- HbA1c every 3 mths
- Eye & foot review
- Dietitian on-site
Chronic Disease · Bulk Billed
Living well with long-term conditions.
Diabetes, heart disease, asthma, COPD, arthritis — chronic conditions need consistent, coordinated care. Our GPs at Cranbourne West work with you to create a personalised GP Management Plan (GPMP) and connect you to allied health professionals — at no out-of-pocket cost for eligible patients.
What's Included
Care plans give you up to 5 free allied health visits per year, plus regular reviews.
Heart disease & BP
BP monitoring, cholesterol management, ECG, specialist referrals.
- BP monitoring
- ECG on-site
- Lipid management
Asthma & COPD
Personal asthma action plans, spirometry, inhaler technique reviews.
- Asthma action plans
- Spirometry
- Inhaler training
Arthritis & chronic pain
Pain management, physiotherapy referrals, imaging, rheumatology.
- Pain plans
- Physio referrals
- Imaging
Kidney disease
Routine monitoring, BP optimisation, dietitian support, nephrology.
- eGFR monitoring
- Diet support
- Specialist liaison
Mental health overlay
Depression and anxiety often accompany chronic disease — we treat the whole person.
- Mental Health Care Plans
- Holistic approach
- Same-day support
How It Works
From booking to follow-up — in four steps
1
Long appointment booked
Book a 30+ minute slot. Bring all medications and previous results.
2
Plan written together
Your GP creates a personalised plan — goals, treatments, allied health referrals.
3
Up to 5 free allied health visits
Medicare covers up to 5 sessions per year (dietitian, physio, podiatrist) at our clinic — bulk-billed.
4
6-monthly reviews
We review your progress, adjust the plan, and roll forward another year.
Fees & Coverage
What it costs at our clinic
Most services are bulk-billed for valid Medicare card holders.
Service
Coverage
Fee
GPMP creation (long visit)
Bulk Billed
$0
GPMP review (6-monthly)
Bulk Billed
$0
Allied health under TCA
Bulk Billed
$0 (up to 5/yr)
Annual diabetes cycle
Bulk Billed
$0
Spirometry
Bulk Billed
$0
Meet Dr Iftikhar Ahmad Shahzad
GP · MBBS, FRACGP · 15+ years
UK and Pakistan-trained, FRACGP since 2017. Special interest in chronic disease — diabetes, hypertension, asthma — and mental health, with a holistic approach to whole-person care.
Book with Iftikhar →
Frequently Asked
Chronic Disease — your questions answered
Who's eligible for a GP Management Plan?
Anyone with a chronic medical condition lasting 12+ months that needs ongoing multidisciplinary care. Your GP will assess at a longer appointment.
Are the allied health visits really free?
Yes — under the Team Care Arrangement, you can access up to 5 bulk-billed allied health sessions per calendar year at our clinic (dietitian, physiotherapist, podiatrist).
Can I have multiple care plans?
You usually have one GPMP at a time, but it can be reviewed and adjusted as your needs change.
What if I don't have one chronic disease but several issues?
Many patients have multiple conditions — that's exactly when a GPMP works best. It coordinates everything in one plan.
How long does it take to write a care plan?
The initial appointment is 30–45 minutes. Reviews are 15–30 minutes. We use this time to ensure the plan is really yours.