Please complete this form to express interest in becoming a Endometriosis and Pelvic Pain GP Clinic in the Darling Downs and West Moreton region. 

This EOI will close at 2pm on Wednesday, 30 July 2025. 

Documents to support your application can be found below: 

• Preview of the questions in this form
• Assessment Criteria Guide
• Grant Guide

For more information please review the email sent by your Primary Care Liaison Officer or email practicesupport@ddwmphn.com.au. 
 

1. Practice details

Provide a short overview detailing how the GP practice currently manages patients with endometriosis (suspected or diagnosed), and/or pelvic pain including referral pathways. Response may include examples of diagnostic capability, multidisciplinary care team management, and use of local specialists, allied health or tertiary supports (400 words).

2. Patient management

Provide a short overview detailing how the GP practice currently manages patients with perimenopause and menopause symptoms including referral pathways. Response may include examples of diagnosis of symptoms attributable to perimenopause and menopause multidisciplinary care team management, and use of local specialists, allied health or tertiary supports (400 words).

3. Practice capability

Provide a short overview of the GP practice’s capability as outlined in the assessment criteria. Response may include details on practice volumes, an indication of service affordability (out of pocket costs or bulk billing) and communities served by the GP clinic e.g. Culturally and Linguistically Diverse people, First Nations, low socio-economic backgrounds (200 words).

4. Professional development

Provide a short overview of the GP practice’s approach to continuing professional development and training. Please include details of any advanced credentialling or training in women’s health, endometriosis, menopause, perimenopause or pain management (200 words). 

5. Building capacity and capability

For GP practices who do not currently meet all the assessment criteria, provide information detailing how funding will be utilised to build capacity and capability of the GP practice to manage and provide primary care support for people with endometriosis and pelvic pain, and perimenopause and menopause patients (200 words). 

6. Equipment details

Please demonstrate your practices has: 

• Integrated up-to-date IT and willingness to communicate with local hospitals and referring GPs as required. 
• Ability to support My Health Record upload. 
• Availability of in-clinic ultrasound, gynacological examination bed, sufficient multi-disciplinary clinic space (250 words).

7. Stakeholder collaboration

Please provide a short overview outlining how the general practice will identify, engage and collaborate with stakeholders to ensure the effective delivery of the grant outcomes. 

8. Additional services to support local community need (not mandatory)

Please demonstrate capability to provide diagnosis, treatment and management, and support services in the following areas:   

• Broader sexual and reproductive health services to complement endometriosis and pelvic pain care including management of STIs and pre-conception advice.   
• Infertility support and referral.   
• Management for patients who have experienced trauma or sexual violence (200 words).

9. Further information/details (not mandatory)

Please provide any further information or general practice details to support the application against the selection criteria.