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Speaker 1: Now as we know, a new walk in bulk billing

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Speaker 1: clinic for urgent medical needs is now opened in Palmerston.

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Speaker 1: It is one of two urgent care clinics funded by

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Speaker 1: the federal government to ease pressure on the hospital system

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Speaker 1: and the Palmerston clinics operated by the GP Superclinic, and

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Speaker 1: it's CEO, Robin Carl, joins me on the line. Good

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Speaker 1: morning to you.

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Speaker 2: Robin, Good morning Katie.

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Speaker 1: Now, Robin, did the service commence on October first as planned?

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Speaker 2: Yes, it did. We had a very soft commencement because,

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Speaker 2: as with most things in their territory, you try and

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Speaker 2: get all of the works done within a schedule. But

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Speaker 2: we had a really, really really short lead in time,

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Speaker 2: so we had contractors working frantically to get things done.

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Speaker 2: So we opted to open on the first in our

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Speaker 2: main clinic and we're really excited that from today, the

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Speaker 2: actual area that's designated as your care clinic will be

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Speaker 2: open from two thirty.

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Speaker 1: Good to hear. Now, what do you think is there

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Speaker 1: going to be a substantial amount of demand?

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Speaker 2: It's really hard to say. We're hoping so, because we're

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Speaker 2: hoping that we'll see a shift away from the emergency

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Speaker 2: Department of the public hospital for those sorts of services

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Speaker 2: that don't need to be at the emergency department, but

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Speaker 2: where people can't get in to see their usual GPS

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Speaker 2: for something that's happened today that can't wait till tomorrow.

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Speaker 2: So we're really hoping people will take advantage of it.

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Speaker 2: We hope that relatively quickly we'll need to expand our

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Speaker 2: doctor numbers and that we'll see even more people coming

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Speaker 2: through that service.

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Speaker 1: And so are people going to be presenting with urgent needs,

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Speaker 1: you know, the way in which the clinic was designed

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Speaker 1: to sort of deal with with those kinds of patients.

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Speaker 2: If it will so, I think one of the biggest

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Speaker 2: challenges will be to make sure that the community understands

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Speaker 2: you can't just come here because you can't get in

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Speaker 2: to see your GP. There's lots of things that we're

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Speaker 2: not allowed to do where it's very very in terms

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Speaker 2: of that. So we can't do things like repeat descriptions

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Speaker 2: or vaccinations or health screening. We can't do perhaps me

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Speaker 2: as any of those sorts of things. It really is

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Speaker 2: specifically about that I got up this morning and I

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Speaker 2: feel absolutely dreadful, and I might need some antibiotics, or

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Speaker 2: my child has just fallen over and got a small

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Speaker 2: cut on their leg, or I fell off my bike

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Speaker 2: last night and I think I might have broken something.

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Speaker 2: Those are the sorts of things that it's designed to

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Speaker 2: deal with, but not the things that are so urgent

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Speaker 2: that you really should go to the emergency department. So,

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Speaker 2: for example, if someone's experiencing check pain doultiple zero, go

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Speaker 2: to the hospital. If you've got a severe burn, or

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Speaker 2: you're concerned that someone might have been poisoned, like if

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Speaker 2: your child somehow got into the kitchen cupboard cupboard and

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Speaker 2: drunk something they shouldn't have there, the things that still

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Speaker 2: absolutely must go to the hospital. But for the other

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Speaker 2: you know, I got up and I think I've got

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Speaker 2: a unit attract infection, or I got bitten by an

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Speaker 2: insect last night and now it looks like I've got

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Speaker 2: an Allerge reaction. Those sorts of things you come to

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Speaker 2: the Urgent Care Clinic and we will deal with those

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Speaker 2: for you.

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Speaker 1: And Robin, is it open to anybody across the Greater

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Speaker 1: Darwin area.

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Speaker 2: It's open to anyone who's got a Medicare card, So

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Speaker 2: it's bulk build service for anyone who is Medicare eligible.

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Speaker 2: And it doesn't matter where you come from, it doesn't

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Speaker 2: matter if you've been here before or not. When there's

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Speaker 2: a couple of little paperwork things that people have to do,

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Speaker 2: but nothing too onerous because obviously the federal government are

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Speaker 2: wanting to monitor and see how this is running. So

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Speaker 2: they want to be able to collect data in much

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Speaker 2: the same way they did when the respiratory clinics were

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Speaker 2: operating to make sure that they were capturing the people

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Speaker 2: who needed to be seen in the service. But other

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Speaker 2: than that, it's simply a matter of coming in making

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Speaker 2: sure that you meet the inclusion criteria and that if

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Speaker 2: you do, we will see you and we will bulk

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Speaker 2: build that service to Medicare.

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Speaker 1: And what are the opening hours? When can people sort

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Speaker 1: of get there at this point?

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Speaker 2: So we're opening from two thirty until eight thirty Monday

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Speaker 2: to Friday. It opens from twelve to six on a

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Speaker 2: Saturday and ten am till six pm on a Sunday.

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Speaker 2: And what we're hoping will happen at the moment, it's

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Speaker 2: one doctor, one nurse working in that service. We're hoping

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Speaker 2: we'll be able to interest a few other doctors around

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Speaker 2: town who might not be working in practice full time.

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Speaker 2: But he might be interested in doing a little bit

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Speaker 2: of extra work so that we can have maybe two

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Speaker 2: or three doctors working those hours, which if we can do,

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Speaker 2: will significantly increase our capacity of numbers of patients to seed.

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Speaker 2: So at the moment, with one doctor we think we

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Speaker 2: could probably see around forty patients session. If we have

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Speaker 2: two or three doctors, that then pushes up to over

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Speaker 2: one hundred, which will be a substantial relief of pressure

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Speaker 2: on the public system.

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Speaker 1: And so, Robin, is the funding there for those to

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Speaker 1: get additional doctors? Is it just a matter of actually

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Speaker 1: finding them.

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Speaker 2: It's a matter of finding them, absolutely. So the funding

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Speaker 2: that we've received will enable us to cover the costs

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Speaker 2: of the staffing costs, which is the critical element. And

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Speaker 2: because we're allowed to bug bill when we have an

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Speaker 2: increase in demand, that will help us support engaging with

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Speaker 2: other stuff members. So yeah, we're pretty confident that the

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Speaker 2: funding that we'll be able to generate with the support

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Speaker 2: that we've received from the federal government will actually enable

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Speaker 2: us to do that. Of course, time will tell. You

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Speaker 2: never know if you're actually doing it, and there's going

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Speaker 2: to be a few teething problems, So hopefully people will

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Speaker 2: be a little bit patient with us and not get

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Speaker 2: to annoyed with us if we hit a few speed bumps.

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Speaker 2: But we expect that within the next couple of months

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Speaker 2: it will be operating as it should now.

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Speaker 1: Robin. On a separate matter that we've spoken about quite

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Speaker 1: a bit this week, we have spoken to a number

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Speaker 1: of expectant mums in Darwin who've been unable to get

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Speaker 1: their pregnancy scans locally in the time frame required and

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Speaker 1: have ended up going to Catherine for them. Do you

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Speaker 1: have any idea, you know, what's sort of going on

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Speaker 1: or have you had you know, have you had patients

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Speaker 1: come in with this experience.

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Speaker 2: Well, we've certainly had patients come in who who are

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Speaker 2: saying it's been very difficult to get an appointment, not

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Speaker 2: just the scans, but for a range of things. We've

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Speaker 2: also experienced some significant delays in getting results read, even

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Speaker 2: for basic X rays, which is a bit concerning, and

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Speaker 2: so we've been doing a bit of digging and what

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Speaker 2: I've been able to ascertain is that the business that

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Speaker 2: previously held the contract for the Department of Health radiology

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Speaker 2: service was a company called IMED. My understanding is that

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Speaker 2: that service went out to tender last year. The tender

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Speaker 2: was awarded in July of this year, which kind of

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Speaker 2: coincides with when the problem problem started and I met

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Speaker 2: for whatever reason, weren't successful in that tender. So they're

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Speaker 2: the established business in the community. They have private practice

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Speaker 2: capacity as well as the services they were providing the

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Speaker 2: public system. And the company that has won the contract

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Speaker 2: is a company called Essay Radiology, and to my knowledge,

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Speaker 2: they don't have a presence in the private sector. So

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Speaker 2: my guess would be you've got a company who would

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Speaker 2: have been subsidizing its private practice operation with imed with

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Speaker 2: the work that we're doing with the public sector, will

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Speaker 2: now be struggling to because on top of the private component,

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Speaker 2: and you've got the company that is now during the

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Speaker 2: public sector service not appearing to be offering a private service.

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Speaker 2: I don't know if they're going to in the long

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Speaker 2: run or whether they're pure they're going to be doing

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Speaker 2: the public system, But I do know that for in

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Speaker 2: radiology specifically, and when you're talking about ultra founds, because

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Speaker 2: my sister is actually a sonographer, it's a highly specialized

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Speaker 2: feel and there aren't a lot of people who do

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Speaker 2: that specialty that are available in the northern territory. So

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Speaker 2: if you haven't got the senographers to do the work,

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Speaker 2: then you can't get the scand done. And that seems

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Speaker 2: to be the problem that's going on, And certainly we've noticed,

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Speaker 2: particularly the COVID pandemic, getting staffed the territory has become

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Speaker 2: even more difficult, and I expect that's had a fear

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Speaker 2: bit to do with it. I know I'm at a

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Speaker 2: working really really hard to combat that shortage, but they

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Speaker 2: can only do it. It's like us with general practitioners.

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Speaker 2: You can only do what you can with the people

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Speaker 2: that you can attract. So it is a bit concerning

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Speaker 2: that the public system isn't keeping up its level of

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Speaker 2: work as well. So while we have it kind of

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Speaker 2: indicates that maybe the transitional implementation to the new service

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Speaker 2: is probably lagging a little bit behind demand. So hopefully

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Speaker 2: for the community that will settle down in the next

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Speaker 2: month or two. I used to work in the public

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Speaker 2: sector and I should actually have responsibility for that area,

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Speaker 2: and it is, you know, it's a fairly involved and

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Speaker 2: fairly complex area. So moving a new provider in after

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Speaker 2: I think it's probably about twenty five years wow, the

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Speaker 2: previous providers under different iterations of companies. So the original

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Speaker 2: company got sold to another company, those sorts of things.

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Speaker 2: They've been providing the service for a very long time,

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Speaker 2: So extracting that and transferring to a new service is

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Speaker 2: there's going to be problems, and I think that's what

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Speaker 2: we're seeing.

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Speaker 1: And Robin in terms of the implication scene, like for

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Speaker 1: pregnant women who maybe aren't able to get their scans

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Speaker 1: within the timeframe that is required, you know what kind

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Speaker 1: of impact does that have for them?

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Speaker 2: I'm going to be a little bit radical. Yeah. Yeah.

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Speaker 2: So one of my hats that I don't practice anymore

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Speaker 2: is I was a childbooth educator and I think the

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Speaker 2: routine date scans that we now just routinely do have

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Speaker 2: become something that we all expect we should be able

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Speaker 2: to do, But you don't necessarily have to have one.

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Speaker 2: So I guess what we could probably expect in the

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Speaker 2: short term is that the women who need one because

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Speaker 2: they're investigating a concern, or they might have a history

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Speaker 2: of particular genetic issues or those things. Are an older

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Speaker 2: person who's wanting to make sure everything's okay, that should

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Speaker 2: be the priority and maybe for the rest, just for

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Speaker 2: that short term period. If we do have to wait

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Speaker 2: a little bit, maybe that's okay. If you're having a

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Speaker 2: really positive and healthy experience in your pregnancy, don't stress

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Speaker 2: too much. I know, it's really cool and nice to

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Speaker 2: see that images your above when you know, and it's

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Speaker 2: very reassuring, But don't stress too much if you can't

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Speaker 2: get that twelve weeks scan if you do have to

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Speaker 2: wait a little bit longer, because if your pregnancy is

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Speaker 2: going well and everything's doing really well, just trust your

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Speaker 2: body knows what it's doing and see how you go.

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Speaker 2: But I think if I heard people are traveling to Katin,

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Speaker 2: which is kind of ironic, it's not that long ago

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Speaker 2: they were traveling from Catherine to Darnwhen to see general practitioners.

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Speaker 2: So maybe it's a bit of quid for a quo

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Speaker 2: and if you're happy to do that, then that's fine.

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Speaker 2: It is an expensive process, though, so I think hopefully

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Speaker 2: we'll see the public system service come to the for

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Speaker 2: in the not too distant future. I think I hope

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Speaker 2: the department actually comes out and gives some information about

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Speaker 2: what's going on. I think, fine, you know, transitioning to

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Speaker 2: a new service, I just have to let people.

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Speaker 1: Know I agree, Lo, just that communication and letting people know,

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Speaker 1: like you've just done, you know, saying to expectant mums

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Speaker 1: you're gonna be okay, you know, if you're not high risk,

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Speaker 1: or if you're not an older expectant mum, or you

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Speaker 1: know some of the others that may have different concerns,

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Speaker 1: you know, just to relax. I think that is exactly

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Speaker 1: the kind of advice that people are wanting. Robin. Can

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Speaker 1: I ask you though, before I let you go as well?

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Speaker 1: What about when it comes to some of those things

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Speaker 1: like MRIs that we'd heard from Bill Yan, the Opposition

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Speaker 1: spokesperson a little earlier this morning about you know, some

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Speaker 1: women in Central Australia, for example, not able to get

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Speaker 1: breast scans and then obviously traveling to places like Darwin,

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Speaker 1: not because they don't have the equipment there, but because,

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Speaker 1: like you'd touched on, they don't have the staff to

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Speaker 1: actually be able to do it.

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Speaker 2: Yeah. I think that in ability to access things that

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Speaker 2: are critical screening processes, particularly when you know, you hear

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Speaker 2: a certain age as a woman, you're being advised to

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Speaker 2: have regular mammograms and so on. I think the fact

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Speaker 2: that we can't provide those really core critical services at

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Speaker 2: the moment is really concerning, and I can you know,

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Speaker 2: I think that people will be reassured if they can

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Speaker 2: get some communication around how long is this delay going

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Speaker 2: to be and if it is linked to the transition

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Speaker 2: to the new service provider, that's okay. Just let people know,

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Speaker 2: let them know what the process is going to be,

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Speaker 2: because one would hope that as part of the tender

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Speaker 2: process they did actually assess the ability of a new

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Speaker 2: provider to supply that required start to do the service.

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Speaker 2: So everybody has kick ups they don't expect. And as

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Speaker 2: I said, it's like general practice, it's one of those

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Speaker 2: areas where it is really difficult to recruit people, particular

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Speaker 2: to remote areas. So I think if we focus on

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Speaker 2: those core critical people who need to have services done

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Speaker 2: first and for the rest of us who might just

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Speaker 2: routinely be having a mamazran done because it's that time

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Speaker 2: and else we can wait another month or so, then

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Speaker 2: don't stress too much about that and make sure that

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Speaker 2: the pathway for people who have a history in those

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Speaker 2: areas and do critically need those reviews on time, that

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Speaker 2: they actually get the priority. And if, like I said,

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Speaker 2: if the department can communicate to everybody what's going on,

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Speaker 2: and we know that there's an end in sight, then

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Speaker 2: that will make life a lot less stressful for everybody.

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Speaker 1: Well, Robin Carr, we always appreciate your time. Thank you

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Speaker 1: so much for joining us this morning.

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Speaker 2: Pleasure Katie. And hopefully people make use of the new

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Speaker 2: urgent care service, then we can actually see a reduction

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Speaker 2: in wait time with the emergency department those people who

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Speaker 2: really need to be there. Yeah.

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Speaker 1: Good advice and hopefully, well, I reckon, we might try

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Speaker 1: and catch up with you in a couple of weeks

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Speaker 1: as well, just to see how it's all going. Robin,

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Speaker 1: thank you, not

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Speaker 2: A problem, Thanks Katie,