Multidisciplinary team care: better together

Pictured: Good health care is collaborative. (Image: Shutterstock)

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The Australian Government’s Primary Health Care 10 Year Plan recognises that patient needs are best supported through coordinated multidisciplinary care.


NWMPHN is committed to working with funders, service providers and people with lived experience to design and commission effective multidisciplinary team care projects – and to evaluate the outcomes.

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patients enrolled in our early interventions for healthy ageing program

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of surveyed patients reported stable or improved quality of life

Early interventions for healthy ageing


The Australian Government funds NWMPHN to support older people to live at home for as long as possible, reducing pressure on hospitals, aged care and other health services.


To do this, we commissioned 10 general practices to identify older people who have chronic health conditions, and provide them with free, multidisciplinary care and early interventions to promote healthy ageing.


Image: Shutterstock

Pharmacists in general practice


NWMPHN funded the Pharmaceutical Society of Australia to implement the Pharmacists in General Practice program in the region.


The program brings together elements of workforce capacity building, chronic disease prevention and management, and quality use of medicines principles. It improves medication use by patients and GPs, boosting health literacy and medicines adherence.

Carer wellbeing and connection – In Touch initiative


NWMPHN engaged Carers Victoria to develop and deliver an innovative approach to improve social connectedness for people experiencing poor health outcomes in Hume and Wyndham.


With a focus on carers of people with disability, mental illness, chronic health issues or age-related conditions, the program provides group discussions, individual planning and support, and follow-up care.

Youth Projects – Saturday clinic and after-hours assertive outreach programs


NWMPHN commissions Youth Projects to deliver location-based after-hours primary health services for people experiencing or at risk of homelessness.


Youth Projects has a strong multidisciplinary team with skills and expertise in addressing a broad range of health issues. This skill set is the ideal match for the diverse and complex physical, mental and social health needs of the people who utilise the service.

Connecting the dots

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A more connected system

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