St Vincent’s Diabetes Centre - Type 2 Diabetes Education Program

• For newly diagnosed type 2 diabetes.
  Facilitated by a diabetes educator and dietitian. Patients invited to attend individual diabetes education/dietitian sessions as follow up. (9.30-12.30: 3 hour session, once a month on a Friday).
• Inclusion: Must live in SESIAHS, be English speaking and aged <70.
• Referral: Must have a GP referral letter. Telephone to book.
• T (02) 8382 2622 F (02) 9331 6626

• For newly diagnosed or pre existing type 2 diabetes in need of a refresher course. Facilitated by a diabetes educator and dietitian. Patients invited to attend individual diabetes education/ dietitian sessions as follow up. (9.00-3.30: 6 hour session, every 2nd Thursday of the month).
• Inclusion: Must live in SESIAHS and be English speaking .
• Referral: Must have a GP referral letter. Telephone to book.
• T (02) 9382 4600 F (02) 9382 4612

Diabetes Australia NSW - Type 2 Diabetes Education Program

• Comprehensive self management program facilitated by diabetes educators, dietitians and exercise physiologists. x1 initial assessment visit followed by x4 two hour education sessions, held once a week on a Wednesday morning.
• Inclusion: Must have diagnosed type 2 diabetes with a current GP Management Plan in place (items 721 or 725).
• Referral: By the GP that has billed the above EPC items using an ‘Allied Health Group Services under Medicare for people with Type 2 Diabetes referral form’ www.health.gov.au/epc
• Cost: Co-payment of $10.00
• T 1300 136 588 for enquires and bookings.

• Run by dietitians, the tours aim to teach people how to read food labels, make sense of nutrient claims and how to make selecting healthy foods easier.
• Cost: $8 for Diabetes Australia-NSW members or $10 for non-members.
   
• For upcoming tour dates, locations and online bookings go to www.diabetesnsw.com.au/events/healthyshoppingtours.asp.
• T 1300 136 588.
   

St Vincent’s Diabetes Centre - Type 2 Diabetes Education Program

• For newly diagnosed type 2 diabetes. Patients with IFG/IGT (pre diabetes) eligible to attend. Facilitated by a diabetes educator and dietitian. (9.30-12.30: 3 hour session, once a month on a Friday)
• Inclusion: Must live in SESIAHS, be English speaking and aged <70.
• Referral: Must have a standard GP referral letter. Telephone to book a place.
• T (02) 8382 2622 F (02) 9331 6626
  
   

Prince of Wales Diabetes Centre - Type 2 Diabetes Education Program

• For newly diagnosed or pre existing type 2 diabetes in need of a refresher course. Patients with IFG/IGT (pre diabetes) eligible to attend. Facilitated by a diabetes educator and dietitian. (9.00-3.30: 6 hour session, every 2nd Thursday of the month)
• Inclusion: Must live in SESIAHS and be English speaking .
• Referral: Must have a GP referral letter. Telephone to book.
• T (02) 9382 4600 F (02) 9382 4612
  
   

Get Healthy Information and coaching service - NSW

• A telephone and web based service aimed at providing information and ongoing support for adults in relation to healthy eating, physical activity, achieving and maintaining a healthy weight. Funded by NSW Health.
• GP NSW have referral templates available for Medical Director and Best Practice programs to download go to www.gpnsw.com.au/resources/abhi-resources
• T 1300 806 258 www.gethealthysnw.com.au

Lifestyle Modification Programs (LMP):

• A program that supports participants to make lasting lifestyle changes that includes advice regarding healthy eating and involves moderate physical activity.
• Inclusion: For Medicare subsidy, patients must have a score of ≥ 15 on AUSDRISK, MBS item 713 or 717 (but must NOT have diabetes). Patients who do not meet this criteria may attend but will pay the full fee of $220.
• Referral: Contact the Eastern Sydney Division of General Practice on 9389 0874.

• When: Held through out the year on Tuesday evenings at 6pm, 8 x 1-2 hr sessions.
• Cost: $50.00 (Free for health care card and pensioner card holders).

Diabetes Australia NSW - Glebe

• When: 7 sessions of 1- 2hr duration over a six month period - Tuesdays 7.30am.
• Cost: $10.00 (Free for health care card and pensioner card holders).

St Vincent’s Diabetes Centre - Diabetes Educator

• One on one consultation(s) for patients not suitable for group education.
• Inclusion: Must have diagnosed diabetes & live within the SESIAHS.
• Referral: Must have a standard GP referral letter. Telephone for appointments.
• T (02) 8382 2622 F (02) 9331 6626.
   

• One on one consultation(s) for patients not suitable for group education.
• Inclusion: Must have diagnosed diabetes & live within the SESIAHS.
• Referral: Must have a standard GP referral letter. Telephone for appointments.
• T (02) 9382 4600 F (02) 9382 4612.

Private Credentialled Diabetes Educators (CDEs)

• Private CDEs within the division are limited. For a list go to APPENDIX A Private CDEs.
• Referral: Standard GP referral or a Referral form for Allied Health Services under Medicare.
• Cost: Private educators set their own fees. A rebate of $50.05 is available for patients with a GP Management Plan and Team Care Arrangement (MBS Items 721 or 723 & 725 or 727) and a ‘Referral Form for Individual Allied Health Services under Medicare’. To download form go to www.health.gov.au/epc click on Allied Health (individual services under Medicare, then Referral form for Allied Health Services under Medicare.
• Rebates from HCF private health fund only.
• DVA Gold Card holders. Diabetes Educators registered for Medicare are automatically registered for Veteran Affairs Benefits. It is up to the individual provider as to whether they accept DVA funded patients.
• For further information go to the Australian Diabetes Educators Association www.adea.com.au

St Vincent’s Diabetes Centre - Ambulatory Stabilisation Service

• Multidisciplinary team comprising: A staff endocrinologist, diabetes registrar, diabetes educators & dietitians.
• Initiation and stabilisation of people with diabetes requiring insulin.
• Diabetes educators teach patients to administer insulin safely and assist patients to stabilise insulin doses under the supervision of a staff endocrinologist.
• Inclusion: Unstable diabetes requiring insulin initiation or re-stablisation. Must reside in the SESIAHS.
• Referral: Must have a standard GP referral letter made out to the Diabetes Educator (if insulin type & starting dose is decided by GP and included in the referral) OR made out to< the Diabetes Registrar (if insulin type & starting dose is undecided by the GP).
• T (02) 8382 2622 F (02) 9331 6626
   

Prince of Wales Diabetes Centre - Ambulatory Stabilisation Service

• Multidisciplinary team comprising: A staff endocrinologist, diabetes registrar, diabetes educators & dietitians.
• Initiation and stabilisation of people with diabetes requiring insulin.
• Diabetes educators teach patients to administer insulin safely and assist patients to stabilise insulin doses under the supervision of a staff endocrinologist.
• Inclusion: Unstable diabetes requiring insulin initiation or re-stablisation. Must reside in the SESIAHS.
• Referral: Must have a standard GP referral letter made out to the Diabetes Educator (if insulin type & starting dose is decided by GP and included in the referral) OR referral to the Diabetes Clinic to see an endocrinologist (if insulin type & starting dose is undecided by the GP). For urgent insulin commencement refer to the Diabetes Centre Registrar.
• T (02) 9382 4600 F (02) 9382 4612

Private Credentialled Diabetes Educators (CDEs)

• Private CDEs teach patients to administer insulin safely and may assist patients to stabilise insulin doses. The referring GP needs to specify the insulin type and starting dose.
• Private CDEs within the division are limited. For a list of Private CDEs go to APPENDIX A.
• Referral: Standard GP referral or a Referral form for Allied Health Services under Medicare.
• Cost: Private educators set their own fees. A rebate of $50.05 is available for patients with a GP Management Plan and Team Care Arrangement (MBS Items 721 or 723 & 725 or 727) and a ‘Referral Form for Individual Allied Health Services under Medicare’. To download form go to www.health.gov.au/epc click on Allied Health (individual services under Medicare, then Referral form for Allied Health Services under Medicare.
• Rebates from HCF private health fund only.
• DVA Gold Card holders. Diabetes Educators registered for Medicare are automatically registered for Veteran Affairs Benefits. It is up to the individual provider as to whether they accept DVA funded patients.

• An extensive series of online patient information sheets is available at www.diabetesaustralia.com.au > Resources > Information Sheets.
• An extensive series of online multilingual patient information sheets is also available from www.diabetesaustralia.com.au > Resources > Multilingual

• Information & Advice Line (DIAL). Anyone can call DIAL to receive assistance from a
  Credentialled Diabetes Educator. Phone 1300 136 588. www.diabetesnsw.com.au

National Diabetes Services Scheme (NDSS)

• Registration with the NDSS allows people with diabetes access to subsidised blood glucose test strips , free insulin pen needles or insulin syringes & subsidised insulin pump consumables.
• Go to the website to download registration forms, for sub-agent/chemist locations (search via postcode) & for further information about the scheme www.ndss.com.au

• For a series of online multi lingual patient information sheets go to www.mhcs.health.nsw.gov.au > Search resources by topic or language .

Get Healthy Information and Coaching Service - NSW

• 1300 806 258. A telephone and web based service aimed at providing information and ongoing support for NSW adults in relation to healthy eating, physical activity and achieving and maintaining a healthy weight. www.gethealthynsw.com.au

National Prescribing Service (NPS)

• For consumer information regarding medicines phone the consumers medicines line on 1300 888 763 or visit www.nps.org.au

Further reputable diabetes websites

• American Diabetes Association. www.diabetes.org
• Reality check - Young Adults with Diabetes www.realitycheck.org.au
• JDRF Juvenile Diabetes Research Foundation www.jdrf.org.au
• Diabetes UK www.diabetes.org.uk
• Baker/IDI www.bakeridi.edu.au

Royal Hospital for Women - Diabetes Service

• Diabetes outpatient clinic is held each Monday afternoon & Wednesday morning. A multidisciplinary service comprising an obstetrician, diabetes physician, diabetes educator and dietitian. Telephone outpatients or the diabetes educator (9382 6010) to make an appointment .
   
• Inclusion: Patients attending RHW antenatal clinic who have had previous GDM or diagnosed GDM via a glucose tolerance test (GTT) or pregnancy diabetes screen (PDS). Must reside within the SESIAHS. (For patients not attending RHW antenatal clinic refer to delivering hospital).
• Referral: Standard GP referral letter.
• T 02 9382 6048 F 02 9382 6118
   

Private Specialist Care

• Women who chose to attend a private obstetrician and endocrinologist who are not planning delivery at the RHW should be referred to the diabetes service at the delivering hospital.
• Alternatively GDM counseling and advice can be provided by private diabetes educators and dietitians. For a list of Credentialled Diabetes Educators and/or Dietians go to APPENDIX A.

Royal Hospital for Women –Diabetes Service

• Diabetes outpatient clinic is held each Monday afternoon & Wednesday morning. A multidisciplinary service comprising an obstetrician, diabetes physician, diabetes educator and dietitian. Education and counselling on pre-conception, pregnancy and after birth care for patients with pre-existing Type 1 or Type 2 diabetes. Phone outpatients or the diabetes educator (9382 6010) to make an appointment .
• Inclusion: Patients with an intention of attending RHW antenatal clinic. Diagnosed type 1 or type 2 diabetes. Must reside within the SESIAHS. Referral: Standard GP referral letter.
• T 02 9382 6048 F 02 9382 6118
  
   

St Vincent’s Diabetes Centre

• Multidisciplinary team comprising: A staff endocrinologist, diabetes registrar, diabetes educators & dietitians. Education and counselling on pre-conception, pregnancy and after birth care for patients with pre-existing type 1 or type 2 diabetes.
• Inclusion: Pre existing type 1 or type 2 diabetes. Must reside within the SESIAHS.
• Referral: Must have a standard GP referral letter made out to the Diabetes Registrar and/or Diabetes Educator/Dietitian.
• T (02) 8382 2622 F (02) 9331 6626
  
   

Prince of Wales Diabetes Centre

• Multidisciplinary team comprising: A staff endocrinologist, diabetes registrar, diabetes educators & dietitians. Education and counselling on pre-conception, pregnancy and after birth care for patients with pre-existing type 1 or type 2 diabetes.
• Inclusion: Pre existing type 1 or type 2 diabetes. Must reside within the SESIAHS.
• Referral: Must have a standard GP referral letter made out to the Diabetes Registrar and/or Diabetes Educator/Dietitian.
• T (02) 9382 4600 F (02) 9382 4612
  
  

Private Endocrinologists

• Patients who prefer a private endocrinologist should be assessed prior to conception where possible, otherwise urgent review should be arranged immediately after conception.
• Patients with a private endocrinologist or GP who are not planning to attend the RHW can be referred to St Vincent’s or Prince of Wales Diabetes Centre’s, OR to a private credentialled diabetes educators and dietitians for pre conception diabetes counseling. For a list of Credentialled Diabetes Educators and/or Dietians go to APPENDIX A.

UNSW Lifestyle Clinic: Strength Clinic

• Specifically for people with medical issues such as diabetes, CVD and falls risk. Supervised by exercise physiologists on a one on one basis. Open Mon-Fri 8am-6pm & Sat 9am-4pm.
• Involves a comprehensive health assessment & prescription of exercises using specialised strength rehabilitation equipment in the Lifestyle Clinic.

UNSW Lifestyle Clinic: Individual Exercise & Lifestyle consultations

• Between two and five individual lifestyle consultations provided by an exercise physiologist with an emphasis on home-based exercises and lifestyle changes.

• Inclusion: Must have a chronic disease, injury or disability.
• Referral: Standard GP referral letter (no rebate) or Medicare Allied Health Referral Form with a GPMP & TCA (Items 721 & 723) (rebate applies).
• Cost: Standard initial consultation $70.00 subsequent consultation $60.00, Pensioners all consultations $50.05. In addition each strength training session $12.00 ($8.00 Pensioners). Medicare rebate of $50.05 if referred under EPC items above. Rebates available through all major private health funds.
• T (02) 9385 3352 F (02) 9385 3195
• For program brochures go to www.lifestyleclinic.net.au

WAVES - Princes of Wales Community Health Service

Gentle water exercise classes for older people facilitated by physiotherapists or trained exercise leaders. Classes are held on a weekly basis.
Location: Various indoor venues across the SESIAHS, including Nth Bondi, Bondi Junction, Maroubra, City, Randwick and Zetland.
Inclusion: Must reside in the SESIAHS, application form required, wait list applies.
Cost: Fees payable per term (approx 10 weeks) $5.00 a class. Some venues charge an additional entrance fee $2.00 - $5.00.
Transport: Can be arranged for some venues at approx cost of $2.50.
Bookings & Enquiries: T (02) 9382 8080 F (02) 9382 8265 LINK to brochure
 

Heart Moves Program

A low intensity program for people living with health conditions. Designed by the Australian Heart Foundation & NSW Health
Supervised by accredited exercise professionals trained to deliver the program.
Many locations within the Eastern Surburbs and surrounding areas. Go to www.heartmoves.heartfoundation.org.au (link) to find specific locations.
 

AIM for fitness
A community based exercise program for both healthy & frail older people, people with disabilities and from different cultures. Classes held at various community venues.
Cost: $49.50 for a 10 week term (one class a week). Lead by physiotherapists.

 

South Eastern Sydney Illawarra: NSW Health produces “ A physical activity directory for adults 55+ living in Eastern Sydney, 2008”. For copies contact SESIHS: Health Promotion Service, Wollongong 02 4221 6700 or Dolls Point 02 99479832.

 

Lifestyle Plus - UNSW Lifestyle Clinic

A comprehensive 12 week program facilitated by an exercise physiologist with an emphasis on home-based exercises.
Includes an initial assessment, x5 exercise & lifestyle consultations and final assessment.
Cost: $330.00. Rebates through major private health funds.
Referral: Self referral form found at www.lifestyleclinic.net.au (link) Click Lifestyle Plus link on left hand side. Complete and fax to Lifestyle Clinic below.
T (02) 9385 3352 F (02) 0385 3195

Private Exercise Physiologists

Online directory of exercise physiologists. Go to www.aaess.com.au. Select link ‘find an exercise physiologist’. Then select NSW and Eastern Sydney Division of General Practice. OR for a list within the Eastern Sydney Division go to Private Exercise Physiologist (link)
Rebates available for patients with a GP Management Plan and Team Care Arrangement (items 721 & 723) referred with a ‘Referral Form for Individual Allied Health Services under Medicare’. For a form go to www.health.gov.au/epc (link) click on Allied Health (individual services under Medicare, then Referral form for Allied Health Services under Medicare’.
Rebates from major private health funds.
T (07) 3856 5622 F (07) 3856 5688

Step into Life - Group outdoor personal training

Nation wide franchise offering group exercise programs including strength based exercise, walking groups and outdoor cardiovascular fitness based in various suburbs within the region go to www.stepintolife.com.au (link) or phone 1300 134 136.
 

AIM for fitness
A community based exercise program for both healthy & frail older people, people with disabilities and from different cultures. Classes held at various community venues.
Cost: $49.50 for a 10 week term (one class a week). Lead by physiotherapists.

 

Curves - Gym for Women
30 min circuit session targeting strength exercises. Various locations around the Eastern Suburbs see website for details www.curvesgym.com.au.
 

St Vincent’s Diabetes Centre

Individual consultations with an accredited practicing dietitian.
Inclusion: For people diagnosed with diabetes that reside in the SESIAHS, who have previously attended.
Referral: Standard GP referral letter. Telephone for bookings.
T (02) 8382 2622 F (02) 9331 6626
 

Prince of Wales Diabetes Centre

Individual consultations with an accredited practicing dietitian.
Inclusion: For people diagnosed with diabetes that reside in the SESIAHS, who have previously attended.
Referral: Standard GP referral letter. Telephone for bookings.
T (02) 9382 4600 F (02) 9382 4612
 

Private Dietitians

• For a directory of Accredited Practicing Dietitians go to the Dietitians Association of Australia website www.daa.asn.au (link) Select area of practice and Division of General Practice to refine your search OR
   
• For a list of Private Dietians within the Eastern Suburbs go to APPENDIX A.
  Referral: Standard GP referral or a Referral form for Allied Health Services under Medicare.
  Cost: Private dietitians set their own fees. A rebate of $50.05 is available for patients with a GP Management Plan and Team Care Arrangement (MBS Items 721 or 723 & 725 or 727) and a ‘Referral Form for Individual Allied Health Services under Medicare’ . To download form go to www.health.gov.au/epc (link) click on Allied Health (individual services under Medicare, then Referral form for Allied Health Services under Medicare.
  Rebates available from some private health funds.
  DVA Gold Card holders. Dietitians registered for Medicare are automatically registered for Veteran Affairs Benefits. It is up to the individual provider as to whether they accept DVA funded patients.

St Vincent’s Diabetes Centre - High Risk Foot Clinic

Initial assessment conducted by Diabetes Registrar and if appropriate referral made to High Risk Foot Clinic. Multidisciplinary clinic comprising: orthopedic surgeon, vascular physician, endocrinologist, physiotherapist, diabetes educator & podiatrist.
Inclusion criteria:
Current or previous foot ulcer
History of amputation OR any two of the following:
peripheral neuropathy, established PVD, or foot problems (deformity, callous, corns,
fissures, toenail pathology, inability to perform self management).
Referral: Standard GP referral letter to Diabetes Registrar for a ‘high risk foot assessment’. Telephone for an appointment.
T (02) 8382 2622 F (02) 9331 6626
 

Prince of Wales Diabetes Centre - High Risk Foot Clinic

Podiatry services for those with diabetes that meet the inclusion criteria. The podiatrist may then decide to refer the patient further to the ‘Multidisciplinary Foot Clinic’.
Inclusion criteria:
Current or previous foot ulcer
History of amputation OR any two of the following:
peripheral neuropathy, established PVD, or foot problems (deformity, callous, corns,
fissures, toenail pathology, inability to perform self management).
Referral: Standard GP referral letter to Podiatrist for a ‘high risk foot assessment’.
Telephone for an appointment.
T (02) 9382 4600 F (02) 9382 4612

Darlinghurst Community Health Centre - Podiatry Services

General podiatry services for FULL pensioners only.
Podiatry nurse conducts a triage assessment in the patients home. Patients are placed on a wait list according to priority. Patients are arranged either a Podiatry Clinic appointment or a Podiatry Home Visit, dependent on patient’s physical condition.
Inclusion: Full pensioners that reside within the catchment area (suburbs circumscribed by City, Surry Hills, Paddington, Centennial Park, Randwick & Clovelly).
Referral: Verbal referral by phoning the ‘Intake Referral Centre’ on (02) 8382 1988.
 

War Memorial Hospital - Podiatry Services

General podiatry services for FULL pensioners only.
Inclusion: Full pensioners that reside in the catchment area (Eastern suburbs circumscribed by Coogee, Randwick, Centennial Park, Paddington, Edgecliff, Darling Point).
Referral: Standard GP referral letter faxed to ‘Northern Network Access & Referrals’
F. (02) 9369 0101. Patient then telephones T. 9369 0400 to complete the intake data tool.
Podiatry then contact patient with an appointment date and time.
 

Private Podiatrists

• For a directory of private podiatrists go to the Australian Podiatry Association—NSW branch www.podiatry.asn.au (link) click on ‘Search for a Podiatrist’ and search by postcode, suburb, clinic name or surname OR for a list of private podiatrists within the Eastern Suburbs go to APPENDIX A.
  Referral: Standard GP referral or a Referral form for Allied Health Services under Medicare.
  Cost: Private educators set their own fees. A rebate of $50.05 is available for patients with a GP Management Plan and Team Care Arrangement (MBS Items 721 or 723 & 725 or 727) and a ‘Referral Form for Individual Allied Health Services under Medicare’ . To download form go to www.health.gov.au/epc (link) click on Allied Health (individual services under Medicare, then Referral form for Allied Health Services under Medicare.
  Rebates available from some private health funds.
  DVA Gold Card holders. Podiatrists registered for Medicare are automatically registered for Veteran Affairs Benefits. It is up to the individual provider as to whether they accept DVA funded patients.

Eastern Sydney Division of General Practice

A Home Medicine Review is an assessment in the home by an accredited pharmacist for people at risk of medicines misadventure . The pharmacist will recommend changes to improve medicine effectiveness, safety and adherence.
Inclusion: Patients living at home for whom quality use of medicines may be an issue or who may be at risk of medication related problems.
Frequency: Once every 12 months, or more frequently if there has been a change in patient’s condition or regimen.
Steps:
1) GP assesses need for HMR
2) Patient consent obtained and documented in notes
3) Referral form is sent to patient’s preferred community pharmacy
4) Accredited pharmacist conducts interview, usually in patient’s home
5) Pharmacist provides GP with a HMR report discussing issues arising
6) GP arranges a follow up visit with patient to discuss a medication management
plan (item 900).
A copy is given to the patient, one is forwarded to the pharmacist and one is retained.

For HMR information or for a list of community pharmacies registered to provide the HMR service contact the ESDGP HMR facilitator on ph. 93890874 ext 206 or email hmr@esdgp.org.au or visit our website www.esdgp.org.au (link)
 

Community Pharmacy

Patient’s should be referred to their local community pharmacy for a HMR. The community pharmacy will arrange for an accredited HMR pharmacist to contact the patient to arrange a visit, usually in the patient’s home.

The Pharmacy Guild of Australia

For more information about the Medication Management Review Program and for downloadable patient information brochures go to www.guild.org.au/mmr (link)

Optometrists who bulk bill for the consultation

For a directory of optometrists who are members of the Optometrists Association visit www.optometrists.asn.au (link). Use the optometrist search window.
Referral: Standard GP referral letter
Cost: Most optometrists will bulk bill.
T (02) 9712 2199 F (02) 9713 2452
 

St Vincent’s Hospital - Ophthalmology Clinic

General ophthalmology clinic dealing with diabetic retinopathy and macular degeneration.
Not for general diabetes eye screening.
Referral: Standard GP referral faxed to 8382 3111. Patient will be contacted via mail with an appointment time. For VERY urgent appointments telephone switchboard 8382 1111 and ask to speak to the Eye Registrar.
T (02) 8382 3110 F (02) 8382 3111
 

Prince of Wales - Ophthalmology Clinic

General ophthalmology clinic dealing with diabetic retinopathy and macular degeneration.
Not for general diabetes eye screening.
Referral: Standard GP referral letter. Telephone for appointments.
T (02) 9382 2261/62 F (02) 9382 2281
 

Sydney Eye Hospital - General Eye Clinic

For general eye assessment including diabetes eye screening. Long wait list applies, approx. 6 months.
For emergency enquiries phone weekdays 9382 7514/13, weekends 9382 7514, A/H 9382 7111 and ask for Eye Registrar.
T (02) 9382 7050/51 F (02) 9382 7354