Chronic Disease Management Plan – type 2 diabetes (PI07)
This indicator is the proportion of First Nations regular clients with type 2 diabetes for whom a Chronic Disease Management Plan was prepared within the previous 24 months.
PI07 is collected for males and females in age groups from 0–4 to 65 and over and presented here for males and females in age groups:
- under 35
- 35–44
- 45–54
- 55–64
- 65 and over.
There have been changes to the specification of this indicator over time. See Interpreting nKPI data for more information.
Why a Chronic Disease Management Plan is important
Much of the burden of disease among First Nations people is due to chronic disease.
Effective management of chronic disease can delay the progression of disease, decrease the need for high-cost interventions, improve quality of life, and increase life expectancy. The development of a Chronic Disease Management Plan is one way in which appropriate care can be planned.
The Chronic Disease Management items on the Medicare Benefits Schedule (MBS) enable GPs to plan and coordinate the health care of patients with chronic or terminal medical conditions.
At June 2022, 51% (or around 24,800) of First Nations regular clients with type 2 diabetes had a Chronic Disease Management Plan prepared within the previous 24 months.
Chronic Disease Management Plan – type 2 diabetes, by reporting period
This Tableau visualisation shows the percentage of Indigenous regular clients with type 2 diabetes who had a Chronic Disease Management Plan in the last 2 years, by reporting period. There are two tabs with different time periods:
- December 2020 to June 2022
- June 2017 to June 2020.
Data supporting this visualisation are available in Excel supplementary data tables at Data.

Notes
- In December 2020, specifications changed for this indicator and data from that point on cannot be compared with previous periods. See Interpreting nKPI data for more information.
- See Technical notes for more information, including on interpreting changes over time.
This was highest in:
- Queensland (60%)
- Major cities (58%)
- Aboriginal Community Controlled Health Organisations (ACCHOs) (54%).
Chronic Disease Management Plan – type 2 diabetes, by reporting period and state/territory or remoteness or organisation type
Two Tableau visualisations are presented here. The first shows the percentage of Indigenous regular clients with type 2 diabetes who had a Chronic Disease Management Plan in the last 2 years for either:
- state/territory (NSW/ACT, Vic, Qld, WA, SA, Tas, NT, Australia)
- remoteness area (Major cities, Inner regional, Outer regional, Remote, Very remote, Australia)
- organisation type (ACCHO, non-ACCHO, Total).
Reporting periods of either June 2017, December 2017, June 2018, December 2018, June 2019, December 2019, June 2020, December 2020, June 2021, December 2021, or June 2022 can be selected.
The second visualisation shows the selected information from the first visualisation by sex (male, female) and age group (<35, 35–44, 45–54, 55–64, 65+).
Data supporting this visualisation are available in Excel supplementary data tables at Archived content.

Notes
- In December 2020, specifications changed for this indicator and data from that point on cannot be compared with previous periods. See Interpreting nKPI data for more information.
- See Technical notes for more information, including on interpreting changes over time.