Excision/Biopsy of skin:
Doctors at Millbank Medical will excise/biopsy skin lesions they feel are suspicious and send them to Pathology for analysis.
Implanon (Contraceptive Skin Implant) insertion & removal:
This is a small plastic rod containing one hormone, Progestogen, which is inserted underneath the woman's skin on the inside of the upper arm. This can stay in place for a maximum of 3 years.
IUD (Intra Uterine Device) insertion & removal:
This is a small contraceptive device that is placed in the woman's uterus. There are two kinds of IUD, the copper IUD and the Progestogen or Mirena IUD. It is a very effective long-term form of contraception
We believe that caring for you and/or your family’s health does not just involve treating illness or disease. Most importantly, it involves helping you stay well or rehabilitate as quickly and as fully as possible after illness or accidents.
To do this we use what is called preventative-medicine practices, these include such things as asking you about: Your family/life history, habits, diet and activities.
It also includes doing screening tests in well people. For this, we like to measure your height and weight and perform a urine test annually. Skin checks, blood pressure checks, cholesterol measurements, Pap Smears, breast checks including Mammograms, are also offered at appropriate times.
We are committed to managing all chronic health conditions holistically and in partnership with you; we use methods as follows:
Health Assessment for Over 75 year olds: (This service is bulk-billed)
An Over 75 Years Old Health Assessment is an in-depth assessment.
The health assessment provides a structured way of identifying health issues and conditions that are potentially preventable or agreeable to interventions in order to improve health and/or quality of life.
Aboriginal and TSI Health Assessments: (These services are bulk-billed)
These health checks are Medicare services for Aboriginal and Torres Strait Islander people.
The aim of these health checks are to help ensure that Aboriginal and Torres Strait Islander people receive primary health care matched to their needs, by encouraging early detection, diagnosis and intervention for common and treatable conditions that cause considerable morbidity and early mortality.
Child Health Check (0-14)
The Child Health Check is an annual service for children 0 to 14 years (inclusive). The minimum time allowed between health checks is 9 months. This allows flexibility during important life stages for children (such as the first few years of life), when more frequent health assessment activities are clinically indicated.
Adult Health Check (15-54)
The Adult Health Check is a two-yearly service for Aboriginal and Torres Strait Islander people aged between 15 and 54 years (inclusive).
Older Person’s Health Check (55+)
An annual health check is also available for Aboriginal and Torres Strait Islander people who are at least 55 years of age.
The 45-49 (incl.) Year Old Health Check: (This service is bulk-billed)
A health check at this stage of life can assist to help make the necessary lifestyle changes to prevent or delay the onset of chronic disease.
To be eligible you must be aged 45 to 49 years (inclusive) and at risk of developing a chronic disease. The decision that you are at risk of developing a chronic disease is a clinical judgment made by your GP. However, at least one risk factor must be identified. Factors that your GP may consider include, but are not limited to:
Lifestyle risk factors such as smoking, physical inactivity, poor nutrition or alcohol misuse;
Biomedical risk factors such as high cholesterol, high blood pressure, impaired glucose metabolism or excess weight; and
Family history of a chronic disease.
Medicare Health Assessment for People with an Intellectual Disability: (This service is bulk-billed)
The Medicare health assessment for people with an intellectual disability provides a structured clinical framework for general practitioners (GPs) to comprehensively assess the physical, psychological and social function of patients with an intellectual disability and to identify any medical intervention and preventative health care required.
Healthy Kids Check: (This service is bulk-billed)
The aim of the Healthy Kids Check is to ensure every 4 year old child in Australia has a basic health check to see if they are healthy, fit and ready to learn when they start school. The Healthy Kids Check will promote early detection of lifestyle risk factors, delayed development and illness, and introduce guidance for healthy lifestyles and early intervention strategies. The Healthy Kids Check will take place at or around the same time as the four year old immunisation.
More health advice and information will be provided to parents in the “Get Set 4 Life – Habits for Healthy Kids” booklet.
Type 2 Diabetes Risk Evaluation: (This service is bulk-billed)
The Type 2 Diabetes Risk Evaluation is available to people aged 40 to 49 years (inclusive) who are at high risk of developing type 2 diabetes. ‘High risk’ is determined following the patient’s completion of the Australian type 2 diabetes risk assessment tool (available at reception). It consists of a short list of questions that, when completed, provides a guide to a patient’s current level of risk of developing type 2 diabetes over the next five years.
This evaluation enables GPs to review patients’ risk factors and instigate early interventions such as lifestyle modification programs to assist with the prevention of type 2 diabetes.
Chronic Disease Management (CDM) Plans: (These services are bulk-billed)
A chronic medical condition is one that has been (or is likely to be) present for six months or longer. It includes but is not limited to conditions such as asthma, cancer, heart disease, diabetes, arthritis and stroke. Your GP will determine whether a plan is appropriate for you.
The CDM Plans are for GPs and Practice Nurses to manage the health care of patients with chronic medical conditions.
There are two types of plans:
GP Management Plans (GPMP)
Team Care Arrangements (TCA)
If you have a chronic medical condition, your GP may suggest a GP Management Plan.
If you also have complex care needs and require treatment from two or more other health care providers, your GP may suggest Team Care Arrangements as well.
Your GP or practice staff must obtain your agreement before providing these plans.
A written, structured approach to health care can help you and your GP manage your condition by identifying your needs and planning what should be done.
If you have both a GPMP and a TCA prepared for you by your GP, you may be eligible for Medicare rebates for specific allied health services.
The practice nurse can provide support and monitoring between visits to your GP.
Your GP will offer you a copy of your plan.
GPMPs and TCAs are intended to be provided by your usual GP or practice; the one that you attend most often.
You and your GP should regularly review your plan/s.
GP Management Plans:
A GP Management Plan (GPMP) can help people with chronic medical conditions by providing an organised approach to care. A GPMP is a plan of action that you have agreed with your GP.
identifies your health and care needs
sets out the services to be provided by your GP
lists the actions you can take to help manage your condition
Team Care Arrangements:
If you have a chronic medical condition and complex care needs, your GP may also develop Team Care Arrangements (TCAs). These will help coordinate more effectively the care you need from your GP and other health care providers.
TCAs require your GP to collaborate with at least two other health care providers who will give ongoing treatment or services to you. Let your GP or nurse know if there are aspects of your care that you do not want discussed with other health care providers.
GP Mental Health Care Plan:(Please ask your doctor for cost of this service)
A GP Mental Health Care Plan is a plan made by your doctor for treating a mental health problem over time.
Your doctor will work with you to assess your mental health, work out what help you need, set goals and choose the treatment that would be best for you. Your doctor will also advise you about any other services that might help you. (The plan might also include what to do in a crisis or to prevent relapse).
It can also save you money if your doctor refers you to other mental health professionals, who can claim for the service through Medicare if you have a GP Mental Health Care Plan. Without a plan you may have to pay the full cost of these services.
Domiciliary Medication Management Review (DMMR): The Domiciliary Medication Management Review (DMMR) is a service to patients living at home in the community. It is sometimes referred to as a Home Medicines Review (HMR). The goal of a DMMR is to maximise an individual patient's benefit from their medication regimen, and prevent medication-related problems through a team approach, involving the patient's GP and preferred community pharmacy. It may also involve other relevant members of the healthcare team, such as nurses in community practice or carers. The DMMR process utilises the specific knowledge and expertise of each of the health care professionals involved. In collaboration with the GP, a pharmacist comprehensively reviews the patient's medication regimen in a home visit. After discussion of the visit findings and report with the pharmacist, the GP and patient agree on a medication management plan. The patient is central to the development and implementation of this plan with their GP.
Evidence from a number of collaborative studies conducted in Australia has found that programs similar to the DMMR may result in:
improved patient satisfaction, understanding of and concordance with medication regimen;
positive clinical benefits, in terms of the patient's health and quality of life;
improved relationships between GP, patient and pharmacist; and
a reduction in health care costs.
These studies have mainly involved the collaborative work of GPs, pharmacists and patients (and their carers where applicable). Pharmacists bring a pharmaceutical perspective to support the GP and patient in achieving the desired goals of therapy.
Studies have shown that some patients do not realise the potential importance of disclosing all medication consumption to their GP, or may choose not to do so.
A thorough review of a patient's entire medication regimen within the home environment lets the pharmacist and the GP understand all the medication currently or recently taken by the patient. The interview also makes it easier to improve the patient's understanding of their medications, and how they manage them, where this is necessary.
For more information on the above Health Checks refer to: www.medicareaustralia.gov.au
Other Services Provided