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LP - Priority Area 1 - Access to GP Services / Referrals / Alternative…
LP - Priority Area 1 - Access to GP Services / Referrals / Alternative Models
Low GP FTE per capita
GP recruitment campaign
What do people go to GPs for that could be supported elsewhere?
High rate of non-urgent/preventable ED presentations
Urgent Care Clinic ?? – with Nurse Practitioners, Aboriginal Medical Practitioners, etc
Long wait times for GP appointments (1-6 week wait is unhelpful for medical certs and urgent non-emergencies)
Pharmacy Extended Scope
Urgent Care Clinic
Urgent Care Clinic
Helps with lack of "after hours" medical care
Similar - Rapid Access Clinic
Example of Urgent Care Clinic
Workforce stretched thin by travel and lack of local integration, reducing available service hours
Shortage of GPs, NPs, and AHPs undermines local service provision and cultural safety
Recruitment and retention challenges due to stress and burnout, and short-term contracts/funding cycles
Lots of recruitment campaigning is done through Tamworth/Newcastle – needs to be Quirindi/Werris Creek specific – Need imagery from Quirindi/Werris Creek specifically
Staff start looking for work before their contract ends and sometimes have found something somewhere else before we get funding approved to keep them.
BSR - Welcome Experience type program
Nurse Practitioner Model
Stigma around Nurse Practitioners (mentioned in health professional interview)
WalHealth had a Nurse Practitioner but don't anymore due to push back from LOCUM doctors
NPs can see patients for minor illnesses, chronic disease management, and preventive care, reducing GP workload and unnecessary ED presentations.
Nurses Prescribing Medication
Vulnerable people impacted
Elderly
People with Disability (esp physical disability)
Socioeconomically Disadvantaged (due to cost of travel, cost of support, cost of appointments, need to take time off work, etc)
People with Mental Health Conditions
People with Chronic Conditions
Pharmacy Model
Pharmacists can deliver vaccinations, minor ailment consultations, and chronic disease monitoring, relieving pressure on GPs and EDs.
Telehealth Model
Telehealth allows patients to access GPs, specialists, and allied health remotely, particularly for follow-ups or non-urgent care.
Would require improving access to internet service and tech literacy support
REFERRALS
Talk to TAMS and WalHealth
Find out what referrals are frequently needed
Services available which don't need referrals
Single Employer Rural Generalist Pathway Project
Mentioned by JC (MoH rep) to try to re-incentivise staying in rural areas