Chronic Disease Management Plan (CDMP)

The Chronic Disease Management Plan enables GPs to manage the health care of patients with chronic or terminal medical conditions.

A 'chronic medical condition' is one that has been, or is likely to be, present for at least 6 months, such as asthma, cancer, cardiovascular disease, diabetes mellitus, musculoskeletal conditions and stroke.

It involves the doctor assessing the patient, agreeing on management goals with the patient, identifying actions to be taken by the patient or doctor, identifying treatment and ongoing services to be provided, and documenting these.

The patient will recieve a copy of the plan and it is suggested that the plan is reviewed up to 4 times per year.