Winter Strategy

Winter Strategy

The purpose of the Living Well, Your Way - General Practice Winter Strategy program is to support proactive care for patients with chronic disease at risk of deterioration over the winter period, specifically Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), and Diabetes.

From mid-April to September each year, general practices are supporting patients through the program with the following interventions: 

  1. Additional primary care appointments (beyond usual care) 

  2. Chronic disease interventions in primary care including vaccinations, chronic disease management plans, spirometry, sick day action plans, and advanced care directives. 

  3. Additional interventions such as nurse-led chronic disease clinics, social and emotional wellbeing support, and referrals to community providers.

Throughout the program, practice staff including doctors, nurses, managers and administrative staff are offered targeted education and training to improve care over winter and to assist them to work at top of scope in the delivery of high quality care.

EOIs for participation in 2025 Winter Strategy have now closed.

To learn more about this program or register your interest, reach out to info@livingwellyourway.org.au

Winter Strategy 2024 locations

Winter Strategy news

Welcome workshop

Winter Strategy Welcome Workshop

Winter Strategy resources

Heart Plan in a Box

Heart Plan in a Box was commissioned within general practice an add-on Quality Improvement (QI) initiative as part of Living Well, Your Way Winter Strategy. 

The aim was to enhance the quality of care for patients with heart failure in general practice and support the patient's journey from diagnosis through to end-of-life care. 

The initiative utilises the Plan-Do-Study-Act (PDSA) cycle to test and implement continuous improvements in the management of heart failure, with a focus on optimising patient outcomes.

Each practice conducted two PDSA cycles that addressed different stages of the heart failure patient journey.

Key activities in Heart Plan in a Box include:

  • 6 Data Quality Improvement Cycles, aimed at enhancing data collection and utilisation.

  • 3 cycles focused on optimising the diagnosis of heart failure patients.

  • 10 cycles focused on refining GP Management Plans.

  • 2 cycles aimed at improving the processes for patient recalls and reminders.

  • 1 cycle concentrated on optimising treatment strategies for heart failure patients.

  • 2 cycles dedicated to enhancing patient education on managing heart failure.