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Last-ditch push to keep health centre open

08 Aug, 2008 10:55 AM
More than 2000 Canberra residents and the ACT Government have made an 11th-hour plea to Primary Health Care to shelve its plans to close a medical centre.

The company will shut the Wanniassa Medical Centre today a decision that has sparked community outcry and prompted a parliamentary inquiry.

About 2200 people lodged their opposition, signing a petition sent to the company last night.

ACT Health Minister Katy Gallagher has also sent a letter to management, urging it to ''take into account the considerable distress this decision has caused to hundreds of members of the Tuggeranong community''.

In a separate letter to her federal counterpart, Nicola Roxon, Ms Gallagher has lobbied for a new approach to tackle the chronic GP shortage in the ACT.

She asked the Commonwealth to consider four strategies, including setting up a GP super clinic and increasing the number of GP training places.

Primary Health Care will close the Wanniassa Medical Centre and move the seven doctors to the Phillip, arguing patients could access more services at the Woden clinic that had longer opening hours.

The Government hopes other GPs will take over the Wanniassa centre but it will hinge on whether Primary Health Care holds on to its lease, which expires in 2012.

The Australian National University senior lecturer with the Academic Unit of General Practice and Community Health, Sue Douglas, identified a second challenge, given the ''critical shortage'' of GPs.

''When clinics like Wanniassa pick and leave, it's not like you can have other GPs just coming in,'' she said.

Opposition health spokeswoman Jacqui Burke pushed for the parliamentary inquiry.

''The closure of the Wanniassa Medical Centre with only two weeks' notice is a matter of great concern to the approximately 60,000 patients who attend the practice and the wider community,'' Mrs Burke said yesterday.

The Government supported her motion to refer the issue to the Standing Committee on Health, which would report by August 26.

Ms Gallagher doubted the committee could review decisions made by a private company.

''Imagine any business that relocates from one end of Canberra to the another, you set up a committee inquiry every time that happens. It's just not a practical response,'' she said.

''But when I look at these things I always look at could it hurt? I don't think it can hurt.

''[The inquiry] may come up with something for us and Federal Government to consider ... and in that case, we should support it.''

Dr Douglas argued the shortage of GPs was exacerbated by Australia's ''dysfunctional'' system to register and accredit doctors who had trained overseas. ''Countries like Australia have always relied on international medical graduates to provide medical services, particularly to rural and remote regions,'' she said.

''Once a country has established the need to recruit an international medical graduate because they are unable to secure the services of a domestic graduate, it has an ethical responsibility to ensure that they encounter a fair system.''

This was not the case, according to Dr Douglas, who has first-hand experience with the system that she described as dysfunctional, complex and inefficient.

Dr Douglas who has 15 years' experience as a GP and academic moved more than two years ago from Canada to Australia to take up her position at the ANU. She is training this country's medical workforce but is still not working as a GP after trying to negotiate through the registration and accreditation system.

''There is the irony,'' she said. ''The proposed national registration system is an exciting opportunity to explore these options and build a better system for Australia in the future. But the success of these reforms will largely depend on the ability of the individual stakeholders to put aside their differences and self interests to work together towards a common goal the establishment of a health-care system that supports and respects all health-care workers, Australian and internationally trained alike.''

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Even if they hand over the lease, I don't believe the doctors are allowed to go back to Wanniassa Medical Clinic (terms of contracts such as these typically exclude doctors from setting up shop within X km from their initial location to prevent them from stealing patients from the host company) They can't up and quit from Phillip as they have signed a contract and would have legal action taken against them if they breach their contract. With the doctor shortage I doubt anyone would be able to quickly set up shop back in Wanniassa medical Clinic even if the lease was handed back
Posted by Happy, 8/08/2008 11:52:11 AM
We cannot obtain what there is a national shortage of anyway - doctors! The ACT should consider bringing in a system of not only Nurse Practitioners but also the American model of Physician Assistants as well. Both work in tandem in the USA. Both Qld and S.A. are commencing training of PAs as a Master's level course next year.
Posted by Dr No!, 8/08/2008 11:38:48 AM
You can be sure that Primary Health Care will hang onto that lease until 2012 it's called power. They know the chances of other doctors setting up a medical practise in Tuggaranong from scratch (in competition with them) and finding doctors to staff it is pretty slim.
Posted by Sad it's come to this., 8/08/2008 11:35:01 AM
Im sure the Government would be able to revoke the lease on the property ... hell, they do it to the general population if/when they want to build a road, or put up an office building. Come on Labor, do something worthwhile in this, an election year, and review PHC's rights to hold a lease on a property that from next week will not be used for its intended purpose (or that which is listed in its lease-purpose-clause). If worst comes to worst, pay the lease out and give it to an health organisation that actually puts people before profits ... who knows, maybe the doctors affected might resign from PHC and return to the centre. Wouldnt that stuff them up ?!!
Posted by Andrew S., 8/08/2008 11:17:30 AM
Those irresposible, money hungry bastards who own Primary Health Care (PHC) should be forced by legal challenge to hand over their exixting lease so that another company can re established a Health Care Centre there. I cannot understand nor accept that PHC is allowed to just walk away and leave the patients for dead. What the helll is wrong with this country and what does the government do to protect the people from irresposible operators like PHC? With every day their country is becomimg mose ad more like BANANA republic. What ever happened to the Aussie spirit? it's gone!
Posted by huggie, 8/08/2008 9:22:31 AM

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