Integrated Team Care

NT PHN commissions services to provide Care Coordination and Supplementary Services through the Integrated Team Care (ITC) activity.  

The aims of the ITC Activity are to contribute to:

  • improving health outcomes for Aboriginal and Torres Strait Islander peoples with chronic health conditions through better access to coordinated and multidisciplinary care 
  • closing the gap in life expectancy by improving access to culturally appropriate mainstream primary care services (including but not limited to general practice, allied health and specialists) for Aboriginal and Torres Strait Islander peoples.

Care coordinators work in their PHN region across the Indigenous and mainstream primary care sectors to assist Aboriginal and Torres Strait Islander peoples to obtain primary health care as required, provide care coordination services to eligible people with chronic disease who require coordinated, multidisciplinary care, and improve access for Aboriginal and Torres Strait Islander peoples to receive culturally appropriate mainstream primary care.

To be eligible for care coordination under the ITC Activity, Aboriginal and Torres Strait Islander patients must be enrolled for chronic disease management through a general practice or an AMS, have a GP management plan and be referred by their GP.

Dental is not an eligible condition for the purposes of the ITC Activity.

Download: Integrated Team Care Program Implementation Guidelines and Frequently Asked Questions

The following service provider organisations are currently commissioned to provide services under the ITC Activity:

Organisation Region

Anyinginyi Health Aboriginal Corporation

Barkly District – Tennant Creek

Central Australian Aboriginal Congress Aboriginal Corporation

Urban Alice Springs area: Gap Road Clinic, Sadadeen Clinic, Larapinta Clinic

Outreach service to Flynn Drive. Dialysis and Nephrocare Dialysis

Eligible patients from six remote communities: Santa Teresa, Mutitjulu, Areyonga, Amoonguna, Ntaria, Wallace Rockhole

Central Australian Health Service Remote Central Australia

Danila Dilba Health Service

Darwin, Palmerston

Malak, Bagot

Katherine West Health

Katherine West - Kalkarindji, Lajamanu, Pigeon Hole, Yarralin, Timber Creek, Bulla, Killdirk

Laynhapuy Homelands Aboriginal Corporation

East Arnhem North District - Laynhapuy Homelands

Miwatj Health Aboriginal Corporation

Gove Peninsula: Nhulunbuy, Gunyangara, Birritjimi

Yirrkala: Galiwinku

Sunrise Health Service Aboriginal Corporation

Katherine West District: Barunga, Manyallaluk, Wugularr, Bulman, Weemol, Jilkminggan, Minyerri, Ngukurr, Urapunga, Mataranka


Alice Springs Urban District

Western Desert Nganampa Palyantjaku Tjuttaka Aboriginal Corporation

Darwin Urban Region, Alice Springs Urban Region

Wurli Wurlinjang Aboriginal Corporation

Katherine Township (Katherine District)


Health Stream Lead, Paul Ryan
t 08 8950 4810  e