ITC program for people with chronic health conditions - Closing the Gap

bATSI-branding-light-pink-communityIf you identify as Aboriginal and/or Torres Strait Islander and have a chronic disease such as diabetes, cancer, cardiovascular disease, chronic respiratory disease, chronic kidney disease and mental health conditions you will be eligible for the ITC Program.

The ITC program, through the Closing the Gap scheme, contributes towards improving health outcomes for Aboriginal and Torres Strait Islander people with chronic health conditions through access to care coordination, multidisciplinary care, and support for self-management and improve access to culturally appropriate mainstream primary care services for Aboriginal and Torres Strait Islander people.

If you have a chronic disease, ask your GP whether you are eligible for referral to the ITC Program. Your GP can refer you through the “Triple I Hub”.

Your program support team

Care Coordinator

Care Coordinators are qualified health workers (for example, nurses, Aboriginal Health Workers) who support eligible clients through one-on-one care coordination to access the services they need to treat their chronic disease according to the General Practitioner management plan (GPMP/ GP care plan).

The work of a care coordinator can include:

  • assisting clients to understand their chronic health condition
  • arranging services listed in their GP care plan, which may include support for chronic disease self-management and care plan compliance
  • assisting clients to participate in regular reviews by their primary care providers and provide clinical care
  • working closely with Aboriginal Outreach Workers in many of these activities.

Outreach Work

Outreach Workers encourage Aboriginal and Torres Strait Islander people to access health services and help to ensure that services are culturally competent. They have strong links to the community they work in. Outreach Workers carry out non-clinical tasks, e.g. helping clients to travel to their medical appointments.

bATSI-branding-light-blue-green-communityAssistance with other payments such as transport may be available

The ITC Supplementary Services funding pool can be used to assist clients who are enrolled in the ITC Program to access medical specialist and allied health services where these services align with the client’s care plan. The funds may also be used to assist with the cost of transport to appointments.

Care Coordinators have access to the Supplementary Services Funding Pool when they need to expedite a client’s access to an urgent and essential allied health or specialist service, or the necessary transport to access the service, where this is not publicly available in a clinically acceptable timeframe.

South Western Sydney Local Health District (LHD)

Phone: 1800 455 511
Email: Triple I Hub Email
Fax: 02 4621 8799
Website: Triple I Hub web page