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Integrated Team Care
We help you to access health services, self-manage your health journey, and ensure you receive quality care.
Who it's for
Aboriginal and/or Torres Strait Islander people with a chronic condition
Where
All Torres Strait Islands (Badu is serviced by NPAWS, Bamaga)
Referral
GP referral with a current GP Chronic Condition Management Plan
Contact
ITC@torreshealth.com
4090 3380
About the programme
Coordinated care for complex chronic conditions
ITC empowers Aboriginal and Torres Strait Islander people facing complex chronic diseases and health decisions, through personalised one-on-one Care Coordination and Supplementary Services funding.
We work with you, your GP and other providers so you understand your condition and how to manage it, and we advocate for you as you navigate mainstream and specialist services.
Care Coordination means helping to organise and support you with your health needs:
- Understand your GP care plan
- Arrange and attend appointments
- Follow up appointments and encourage regular health checks
- Work with and provide feedback to your GP and other care providers
- Organise supplementary eligible services
Under 8’s Day, Thursday Island
R U OK? Day 2026
Who delivers it
A local team with clinical experience
Our Care Coordinators have a clinical background as a Health Worker and/or Nurse. They are supported by a Senior Team Project Officer and our Clinical Lead to tailor care to the needs of each community we service.
Meet our team
Who you'll work with
MW
Margaret Wymarra
ITC Coordinator (Outer Islands)
Bio to be supplied by Torres Health.
LL
Louise Livingstone
Clinical Lead – Consultant
Bio to be supplied by Torres Health.
Additional support
Supplementary Services
Funding to help you access medical specialists, allied health and certain medical aids when other services or funding aren’t available in a clinically acceptable timeframe.
- Transport to health appointments on TI*
- Transport from accommodation to airports in Cairns, Townsville, Brisbane
- Access to private specialists and allied health
- Assisted breathing equipment (CPAP, nebulisers)
- Continence aids (short-term)
- Dietary replacement and supplements
- Footwear prescribed by a podiatrist
- Funding support for glasses
- Diagnostic testing
*With prior notice. Minimum 24 hours’ notice to ITC staff.
Eligibility
Who can join
- Have one or more chronic conditions (present, or likely to be, for 6 months or more)
- Identify as Aboriginal and/or Torres Strait Islander
- Have a current GP care plan and a referral to ITC
- Live within our catchment areas
Priority
Chronic conditions we support
Not everyone with a chronic condition will need ITC. Priority goes to clients with complex needs who need multidisciplinary coordinated care.
How to access ITC
Getting started
Ask us or your clinic
Contact the ITC team or your local Primary Health Care Centre.
See a GP
Your GP discusses your health needs and makes a GP Chronic Condition Management Plan.
GP sends the referral
Your doctor sends the ITC referral form and care plan to our team.
Meet your Care Coordinator
We contact you to start planning your care together.
On the Outer Islands, a Remote Area Nurse can also refer, as long as you see the GP on their next visit. Self-referrals are welcome, and we’ll help you get a current care plan. Clients who can self-manage, or haven’t been in contact for 3 months, are exited but can re-enrol any time.
Contact the ITC Program Team
Talk to a Care Coordinator
Questions about eligibility, referrals or your care plan? Our team is happy to help.
ITC@torreshealth.com
referrals@torreshealth.com
Phone
4090 3380
Visit
63 Douglas Street
Thursday Island QLD 4875
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Get in touch
Talk to our team
Not sure which programme is right? Send us a message or call, and we’ll connect you with the right person.
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Admin office61–63 Douglas Street,
Thursday Island -
Programs office57 Douglas Street,
Thursday Island - Phone4090 3380
- Emailinfo@torreshealth.com
In an emergency, call 000. For crisis support, call Lifeline on 13 11 14.