The Primary Care Networks (PCN) refers to a network of General Practitioners (GPs) supported by nurses and care coordinators who aim to provide holistic and coordinated care for patients with chronic conditions such as diabetes, hypertension and hyperlipidaemia.
This team-based care approach ensures patients, like you, are being better cared for in the community.
TEAM-BASED CARE APPROACH
The PCN team comprises GPs, nurse counsellors and care coordinators to care for patients with chronic conditions within the primary care settings. Nurses will assist to educate and advise you on chronic disease management and lifestyle modifications; while care coordinators will ensure seamless coordination for your regular diabetic management such as Diabetic Retinal Photography (DRP), Diabetic Foot Screening (DFS) including follow ups to ensure holistic management of your conditions.
Your chronic disease management will be tracked and monitored by the PCN to ensure that you follow through with your personalized care plans and treatment. The overall aim is to help you better manage your chronic conditions within the community.
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