Integrated Team Care (ITC) program

The Integrated Team Care (ITC) Program offers clinical and medical supports for eligible Aboriginal and Torres Strait Islander peoples with chronic disease.

It is funded through the Primary Health Network and delivered across Bundaberg region by IWC – an Aboriginal community-controlled organisation here for all in our communities.

How the ITC Program works:

The ITC Program sits alongside services delivered by your GP or other health services. Assistance may be available for:

  • medical resources / aids for a chronic condition

  • costs related to appropriate referrals for Allied Health and Specialist services in relation to certain care for chronic conditions


About the ITC team:

The IWC ITC Care Coordinator and Indigenous Outreach Workers are here to support program participants in:

  • Understanding and managing participants' chronic disease/s and GP Care Plan

  • Accessing medical services and sourcing medical aids as appropriate

  • Identifying transport options to support access to medical services

Key contacts at IWC ITC:

  • Karlee Pfeffer

  • Nicole Chapman

  • Dale Brown

Contact: 1300 492 492 or email


Important note: The role of IWC as the ITC Service Provider for Bundaberg region is to administer participant access to the program and assist in facilitation of additional services. This means that the participant does not have to come to or use IWC’s other services and remains a patient of their existing GP or Health Professional.



Joining the ITC Program:

The ITC Program is open to Aboriginal and Torres Strait Islander peoples with chronic disease who:

  • Have a Medicare card

  • Have a Chronic Disease Management Plan in place with their regular GP

Contact IWC on 1300 492 492

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Steps to accessing ITC

The ITC Program is for Aboriginal and Torres Strait Islander peoples in Bundaberg Local Government Area (LGA) who have a Chronic Disease Management Plan in place with their regular GP.

Here’s how to access the program:


1: If you don’t have a GP Chronic Disease Management Plan, ask your doctor to prepare one.


2: Ask your GP to refer you to the Integrated Team Care (ITC) Program.


3: The IWC ITC Program team will check your eligibility criteria. If eligible, they will work with you to determine how the ITC Program can support you.