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Shock clinic closure angers patients

19 Mar, 2009 09:39 AM
The future of the small suburban GP practice in Canberra is looking bleak with the demise of another clinic and yet more patients left feeling angry and abandoned.

The shock closure of the Kippax Family Practice, in Holt, on Tuesday, has led to one of its doctors, James Cookman, to lash out at its corporate owner, Primary Health Care, saying the company had no interest in keeping the clinic open.

''They closed it more or less by decree [on Tuesday] but they've been doing it by degrees for a long time,'' he said.

''They just haven't engaged with us or tried to make a plan for its long-term viability and I believe the reason for that is because their focus is on cost-cutting.''

Primary Health Care also closed the Wanniassa Medical Centre last year.

ACT Health Minister Katy Gallagher has written to Primary Health Care managing director Dr Edmund Bateman telling him the way the Kippax Family Practice closed was ''most regrettable''.

''I would urge you to reconsider your position and allow the Kippax Family Practice to re-open to enable a smooth transition towards closure that takes into account the needs of patients and doctors,'' she wrote.

An area manager from Primary Health Care arrived at the Kippax Family Practice at 4pm on Tuesday to inform its remaining staff, Dr Cookman, Dr John Petelczyc and nurse Margaret Gabriel, that it was closing.

Yesterday, the staff had no access to the clinic, with the locks changed. A notice informed patients to go to another Primary Health Care-owned clinic, the Ginninderra Medical and Dental Centre in Belconnen.

John Philip, 76, of Florey, has been a patient of the Kippax Family Practice for many years and was feeling ''pissed off'''.

''I'm disabled, my wife's disabled. I had an appointment for tomorrow. Now I'll have to go searching for a doctor,'' he said.

Marjorie Hall, 71, of Holt, was ''very upset''. ''I've gone to Dr Cookman for more than 20 years. He's my doctor who knows my history,'' she said.

Dr Cookman maintained the practice had 3000 patients on its books, saying suggestions by Primary Health Care that it had only 100 regular patients were ''nonsense''.

Kippax Family Clinic saw one of its then three doctors resign last year. Dr Petelczyc was also due to leave the Kippax surgery on March 27 to join the North Canberra Family Practice, a larger clinic to open in Belconnen. Dr Petelczyc and Dr Cookman had been reviewing their positions since the Wanniassa Medical Centre closed, with Dr Cookman also considering moving to the North Canberra Family Practice.

Primary Health Care spokesman Henry Bateman blamed the sudden closure of the Kippax clinic on Dr Cookman's decision to take two weeks' holiday with ''no doctors'' left to run the practice.

However, while Dr Cookman has taken holidays, Dr Petelczyc was covering for him until he returned.

Mr Bateman said the Kippax clinic was not viable.

''It's a small practice most doctors don't want to go into. Doctors want to have the facilities and services a larger practice can offer.''

Mr Bateman said the locks had been changed to protect patients' medical records which were being transferred to the Ginninderra clinic where patients could access them.

He said ultimately Federal Government policy was driving GPs to band together in larger centres to save on overheads. ''The small, localised practice is not sustainable based on the current government funding,'' he said.

Ms Gallagher said there was ''absolutely nothing'' the Government could have done to stop the Kippax clinic closing.

''It's just like any private business and they make business decisions. That's not to say we like it,'' she said.

However, Opposition health spokesman Jeremy Hanson said Ms Gallagher was being distracted by her role as Treasurer and was neglecting the Health portfolio, saying no person could adequately carry both important portfolios.

''I want a health minister that is unburdened with the responsibilities of treasury,'' he said.

Ms Gallagher told Mr Hanson to ''just get over it'', saying she could handle Treasury and Health.

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Date: Newest first | Oldest first
you keep saying that primary health closed the wanniassa clinic last year but that is not actually true, they actually moved it to phillip where patients now have access to much better facilities such as xray ct scans ultrasound and chemist on site and all bulk billed, so personally I believe it was a move for the better. it definatley was not closed as you keep reporting simply Moved
Posted by ausbonnita, 19/03/2009 10:21:12 AM
Wanniassa WAS closed. The files were moved to Phillip med n dental, and its a part of that now. Just like this place was closed, but the files and such are being moved to Ginninderra med and dental.
Posted by Braido, 19/03/2009 10:42:43 AM
You've got no idea ausbonnita, absolutely no idea. Wanniassa is now closed, it was shut to cut costs. The facilities in Philip are poorer than the facilities that were available at Wanniassa. Primary are going to have trouble attracting doctors in a few years. They treat them poorly, while the executives pay themselves bonuses for cutting costs.
Posted by Has a clue, 19/03/2009 10:44:41 AM
It’s very upsetting that they have closed the Kippax Family Practice and without any notice at all. My husband and I travel from Gungahlin to see Dr Cookman as he is a fantastic doctor. I have been seeing Dr Cookman for over 20 years and my husband for around 10 years, he suffers from several chronic health conditions and Dr Cookman has made a real difference in his health care and we don’t want to have to see another doctor and have to build all the history again and be treated as a number in one of the larger medical centres. We will be trying to find out where Dr Cookman relocates to and will be moving our records there. I don’t believe that the Kippax Family Practice only had 100 patients on it’s books as it was always so busy and often hard to get an appoint on the day you called as all appoint times having been fully booked.
Posted by Alyssa, 19/03/2009 11:19:17 AM
what a disgrace that lives are played with for money. Kippax practice seemed a very viable practice with days to get appointments cause they were all ways busy. What if the aged in the area that can walk to the dr and not have to sit hours in a bulk billing medical centre. Where do they get the figure of 100 patients when there are three drs on the books? The flow on effect will be to the pathology centre and long term probably the chemist and small businesses in the shopping centre. The governemnt needs to step in and fix this medical crisis that keeps happening...not a letter saying its 'most regrettable" what garbage words are they. Put some irr into your letter and be strong not any pandy words that say nothing
Posted by maygibbsau, 19/03/2009 12:42:21 PM
Get ready for more closures i reckon. I worked in health for nearly ten years until last year and there are basically three large players in the diagnostic area who are branching out and taking over GP clinics to secure diagnostic referrals and make money from our great medicare system. My tip is go and buy shares in the big three to offset your medicare levy each year ;)
Posted by GMAN, 19/03/2009 1:17:27 PM
When are these people going to come to terms with the fact that people are people not numbers or statistics or items to be moved from health centre to health centre along with the furniture!!!! If you have a 20yr relationship with a GP, that is sacrosanct. No politician or businessman has the right to take that away from you. If you need an x-ray you can get it somewhere else - this nonesense of a one stop shop does in no-way replace longterm historical care of a decent caring GP that you have constant, instant access to. People are comfortable with doctors they have been seeing for a long period of time. It is better for both patient and the health system in general as more accurate diagnoses are made this way.
Posted by Elaine, 19/03/2009 10:22:53 PM
Direct billing medical centers could be ripping of the taxpayer funded Medicare system as the patient, after waiting for 2-3 hours, tend to spend more time with the doctor than necessary. No paperwork transaction take place so the patient does not know how much the centre charges Medicare for the service. Having used both private clinics and the bulk bill super centers I have found, on average the the bulk billing super centers charge almost double those of the normal doctors. You can log into the Medicare site and download your medical information. While , I suspect no direct fraud is taking place there could be just a tad more icing on the cake for those super medical, one stop covers all places, that do not provide a detailed account after each consultation. I think our elected health ministers should insist that all patients are provide with their consultation cost at the time of the doctors visit. After all the only way we can cover a proper health system is if everyone pays a fair price for a fair service. Are these super medical clinics draining the system as well as the patience of their patients?
Posted by Dave, 20/03/2009 5:24:01 AM
Dr Cookman is indeed a fine Doctor - and I'm appalled that he and his colleagues were subjected to such a demeaning experience as being locked out of the surgery. I too will be "following" Dr Cookman to his new practice which I understand will be with a group in Chandler Street Belconnen from the end of March. As others have said, it is nonsense to suggest that the Kippax Practice was not busy - far from it. One of the many distressing facts is that many elderly and/or disabled people living in the area will find it difficult to travel elsewhere. Moreover the Ginninderra Medical and Dental Centre does not operate an appointments system. In all, this whole affair has been handled very, very badly. Why, for example, did patients not receive a letter? Not everyone reads The Canberra Times - nor should they have to for information on such a critically important matter.
Posted by Helen, 25/03/2009 7:18:12 PM
Like Alyssa, my wife and I have travelled from Gungahlin to Kippax to visit Dr Cookman for the past 15+ years. We have been patients of his practice for over 25 years and have nothing but the highest regard for all the doctors there, but particularly Dr C. The business practices used by Primary Health Care are nothing short of insidious.
Posted by Ian, 26/03/2009 2:54:42 PM

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LOCKOUT: Dr James Cookman stands outside the now-closed Kippax Family Practice. Photo: KARLEEN WILLIAMS
LOCKOUT: Dr James Cookman stands outside the now-closed Kippax Family Practice. Photo: KARLEEN WILLIAMS
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