logo
Northampton Doctors Surgery closure: Crisis talks under way as locals label decision ‘kick in the guts'

Northampton Doctors Surgery closure: Crisis talks under way as locals label decision ‘kick in the guts'

West Australian22-07-2025
Northampton locals say the imminent closure of their only GP clinic is a 'kick in the guts' that leaves them vulnerable and facing at best a 100km round trip to see a doctor.
Northampton Doctors Surgery, run by private company MediBloom, will shut its doors at the end of the month, with the closure blamed on low Medicare rebates and difficulty recruiting doctors.
It's understood council officials met with GP clinic representatives on Tuesday for crisis talks.
In a social media message to patients on Friday, Dr Tara Hamilton said Medicare funding changes from July 1 made it 'impossible to sustain the practice'.
'I have explored every option, and this is not a decision we've made lightly,' she said.
Dr Hamilton said the surgery had been trying unsuccessfully for four years to recruit another GP, even from abroad, but that Northampton was in a 'uniquely challenging position'.
She said it was a town that was too remote to attract staff, but not remote enough to qualify for support programs.
Patients were late last week informed of the news, handed their health records and told to seek alternative healthcare options. From next month, the closest GP will be in Geraldton, 50km away, where many clinics are already stretched or at capacity.
Northampton resident Sam Smith said the impact of the closure would be widespread in the town.
'I was a chief fire control officer here, my wife was a senior ambulance officer. We've done a lot while we've been here 20 years. It's like a kick in the guts that they'll say, 'oh well, we're not gonna supply a doctor',' Mr Smith said.
'It's going to affect a lot of people. In town we've got the Pioneer Lodge which has got a lot of elderly and retired people in there, if we go to Geraldton we will have to find a doctor that we can go to, I'm sure they're under the hammer . . . we might not even be able to get in, so what do we do when we want a prescription or some advice?
'The farmers and people further out, like at Horrocks, they're going to have a long drive to go to Geraldton, they might be driving well over 150 to 200km to go and get a script or see a doctor, it's ridiculous.'
Geraldton woman Kandie Thorpe said the decision leaves her parents' plan to live out their retirement in Northampton up in the air.
'My parents retired and selected a house within walking distance of the surgery so they would have easy access, whether they could no longer use a car and had to use a mobility scooter,' she told 7NEWS Regional.
It's understood the Shire of Northampton provided incentives to support the local doctor's practice, including a low-lease surgery, a house and up to $600 a week in travel assistance.
Geraldton MLA Kirrilee Warr said she would be advocating for a 'positive solution' for Northampton, concerned those who were physically unable to travel to Geraldton may miss out on basic health care.
'Regional communities require doctors to service their local areas, and it's deeply concerning to hear Northampton is losing its only doctor,' she said.
'It is clear more needs to be done to support rural doctors to ensure they remain situated within their local communities.
'I'll be raising this urgently at every level of government to advocate for a solution.'
Northampton shire president Liz Sudlow said the closure was 'very disappointing' and a blow to the town, despite years of council support for health services.
'The Shire of Northampton has worked for many years to assist in the provision of health services for the people of our communities,' she said.
'We have contributed to travel payments to help support doctor travel. We currently support a stay-in-place health program in Kalbarri.'
Geraldton GP and Panaceum Group director Dr Ian Taylor said this 'awful' situation was another example of the slow but steady demise of WA country towns.
'I'm obviously concerned for the health impact, particularly for the elderly and people with chronic disease, but also for the town itself,' he said.
'It's not just the elderly — it's people with young families and children. If they haven't got access to a doctor up there, then why would you live there?
'It's just another nail in the coffin of country towns trying to survive.'
While Geraldton clinics will try to fill the gap for Northampton residents, Dr Taylor said they were already stretched.
'I'm not certain that the doctors in Geraldton — or practices in Geraldton — have got the capacity to fill in, even on a temporary basis,' he said.
Dr Taylor said it had become almost impossible to attract doctors, especially fully qualified ones, to regional and remote towns.
'So what they rely on is senior registrars — general practitioners in training. These need supervision, and the big problem we have is the lack of supervisors to assist. It's a Statewide problem, and unfortunately, Northampton is copping it,' he said.
Dr Taylor accused the Federal Government of not 'pulling their weight' when it came to GPs in small WA towns.
'To me, it is disgraceful, it's outrageous, that towns throughout WA have to rely on ratepayers and their local government to support general practice, which is a Federal responsibility,' he said.
'There needs to be something done to support the single-doctor practices in country towns that must have a doctor to be able to function.'
City of Greater Geraldton mayor Jerry Clune said he felt sorry for the Northampton community.
'To lose a medical service is very disappointing and it puts a bit of stress on the community as well knowing that you're 45 minutes to an hour away from getting that medical attention if needed,' he said.
'It also pushes a fair bit of stress on local government because there's an expectation from the community for local government to fill the gaps that are left by Federal Government ultimately to provide those services to the community.
'It falls unfortunately to local governments to pick up the tab quite often when this is obviously a Federal Government issue.'
The city has previously put incentives in place to retain Mullewa's GP.
'We feel it in Mullewa where we do our best to make sure we have a GP and if you get them, you've got to treasure them and do your best to keep them,' he said.
Mr Clune said the impact would be 'far-reaching' and could lead to people leaving Northampton.
'It will flow through obviously to the bigger regional areas so Geraldton will pick up the slack that is there if a service is not replaced,' he said.
'People like to remain in the community and if the medical services aren't available then obviously quite often they're forced to leave, and it's just another sort of slow drain on a community that doesn't need to lose people.'
According to the 2021 census, the Northampton local government area had a population of 3227 people, with more than 40 per cent aged 60 or over, and nearly half living with one or more long-term health conditions.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

ASX Health Quarterly Wrap: Control Bionics makes 15pc sales revenue jump
ASX Health Quarterly Wrap: Control Bionics makes 15pc sales revenue jump

News.com.au

timean hour ago

  • News.com.au

ASX Health Quarterly Wrap: Control Bionics makes 15pc sales revenue jump

As July draws to a close, today marks the official end of the June quarterly reporting period under ASX Listing Rules. These updates provide investors with a valuable snapshot of business momentum and future prospects with investors in healthcare watching signs of revenue growth, cash burn and future strategic direction. The June results are particularly pertinent as the last quarter of the financial year in Australia, providing an overview of the full year for many companies. Control Bionics (ASX:CBL) Control Bionics delivered a record year, with unaudited sales revenue rising 15% to more than $6 million and total revenue exceeding $7m in FY25. The company also reported an 8% lift in cash receipts, reaching $5.7m. During the quarter Control Bionics officially launched its NeuroNode Only sales model in the US following issuance of US Medicare reimbursement code E2513 under the Healthcare Common Procedure Coding System (HCPCS), locking in a rate of US$4300 (A$6600) per device. NeuroNode is a wearable, watch-like, wireless non-invasive electromyography (EMG) or spatial sensor device to assist people with physical disabilities perform everyday functions. Notably, this includes sufferers of cerebral palsy or motor neurone disease. Control Bionics said the US HCPCS reimbursement code laid the foundation for continued growth in the US, its largest addressable market. Discussions with multiple potential distribution partners in the US are well advanced. Control Bionics' Neuro Elite Athletics program NeuroBounce continues to gain commercial traction, diversifying its EMG technology into the sports performance market. Control Bionics has launched NeuroBounce in Australia with all five athletes in the initial four-week program improving their vertical jump height, with one recording an increase of 14 centimetres. Meanwhile, the company's NeuroNode device continues to gain traction in global markets. Following adoption within the UK's National Health Service (NHS), Control Bionics is now in active partnership discussions in both Europe and the US as it builds out its distribution-only strategy. In its NeuroStrip product line, Control Bionics has begun collecting EMG-labelled data from athletes and rehabilitation facilities with its development team now assessing opportunities to incorporate AI solutions to automate elements of the system. NeuroStrip hardware is now in use in both Australia and the US, with clinical evaluations underway across several areas. With growing international interest, expanding product lines, and a clear focus on commercialisation, Control Bionics said it had entered FY26 with strong momentum and multiple catalysts for further growth. Alterity Therapeutics (ASX:ATH) CEO and managing director Dr David Stamler said US Food and Drug Administration (FDA) fast track designation for ATH434 in multiple system atrophy (MSA) was the highlight of the recent quarter that also featured additional positive clinical data from its Phase 2 double-blind trial. "Receiving fast track designation alongside the orphan drug designation we have already received underscores the promise of this potentially disease-modifying therapy to address the urgent needs of individuals with MSA," he said. "In addition, we presented additional efficacy data from the ATH434-201 double-blind trial at prominent medical meetings, including slowing of disease progression on the Unified MSA Rating Scale or UMSARS, improvement in key symptoms of MSA, and preserved activity in the outpatient setting." Following quarter end Alterity this week announced positive results from its ATH434-202 open-label phase II clinical trial, in which ATH434 demonstrated a clinical benefit on the UMSARS and global assessments of neurological symptoms. Neuroimaging biomarkers showed target engagement and slowed brain atrophy in a manner consistent with the double-blind study findings with ATH434 continuing to demonstrate a favourable safety profile. "These data reinforce our confidence in the MSA program as we prepare for interactions with the US FDA," Stamler said. Alterity's cash position on June 30 was $40.66m, with operating cash outflows for the quarter of $2.35m. Neurotech International (ASX:NTI) Positive human PK study results for NTI164 released in June following preclinical toxicology results in May Data from Rett Syndrome program presented at the International Rett syndrome Foundation (IRSF) Annual Scientific Meeting Neurotech initiated formal engagement with US FDA in preparation for lodging an investigational new drug (IND) application in FY26 Neurotech's June quarter was marked by important clinical progress, growing international recognition, and further regulatory engagement for its lead investigational therapy NTI164, a proprietary CBDA-rich cannabinoid formulation being developed for paediatric neurological and inflammatory brain disorders. The company completed its first-in-human pharmacokinetic (PK) study. Conducted in healthy adult volunteers, the study confirmed that NTI164 is rapidly and predictably absorbed, with CBDA reaching peak plasma levels within 2–4 hours and emerging as the dominant circulating cannabinoid. Neurotech said the results validated NTI164's systemic stability, safety, and potential suitability for paediatric use. The PK study builds on preclinical toxicology results released in May, which demonstrated excellent tolerability in rats and dogs under GLP conditions. Neurotech also presented data from its Rett syndrome program at the International Rett Syndrome Foundation (IRSF) Annual Scientific Meeting in Boston. Following the quarter, Neurotech announced that results from its phase I/II open-label clinical trial in Rett syndrome had been published in the Journal of Paediatrics and Child Health, a peer-reviewed scientific journal. Neurotech continued to progress its dual regulatory pathway strategy in Australia and the US during the quarter. In Australia, the company is moving toward potential product registration with the therapeutic Goods Administration (TGA) and is exploring expedited approval options to support timely market entry. The company has initiated formal engagement with the FDA in preparation for lodging an investigational new drug (IND) application in FY26. In June, Neurotech appointed leading US clinician Dr Bonni Goldstein as chief medical advisor USA, who has more than 25 years of clinical experience, including 17 years specialising in cannabinoid-based medicine. Goldstein is internationally recognised as a pioneer in paediatric cannabinoid therapy and brings key expertise as NTI164 progresses its development pathway. Also in June, CEO Dr Anthony Filippis attended the BIO International Convention in Boston as Neurotech continues to elevate its global profile and explore partnering and funding opportunities. Neurotech placed its wholly owned subsidiaries AAT Medical Ltd and AAT Research Ltd, responsible for the Mente neurofeedback device, into voluntary liquidation. The move reflects the company's focus on advancing NTI164. Operating cash outflows for the quarter were $2.6m, primarily driven by R&D expenditure supporting its FDA IND and TGA submissions, as well as clinical trial extension costs. Neurotech ended the period with $3m in cash and expects reduced outflows in Q1 FY26. A ~$3m R&D tax refund is anticipated in Q1 or early Q2 FY26 to further bolster cash reserves.

Are you delaying the dentist because of cost? Your children shouldn't be.
Are you delaying the dentist because of cost? Your children shouldn't be.

SBS Australia

time3 hours ago

  • SBS Australia

Are you delaying the dentist because of cost? Your children shouldn't be.

Listen to Australian and world news, and follow trending topics with SBS News Podcasts . As an increasing number of Australian adults are delaying routine dental checkups due to costs, Australian dentists are urging parents not to make the same mistake with their kids. This Dental Health Week, the Australian Dental Association says that around 1.5 million Australian kids are missing out on free dental care every year. In a survey of 25,000 Australian adults, around 40 per cent say two is an appropriate age for a child's first dental visit. Dr Chris Sanzaro is the President of the Australian Dental Association. He says children should start seeing a dentist when their first tooth comes through. "And a few people think it should be older than that. 20 to 30 per cent of people think three to four years of age is appropriate, but the recommendation from the association is that children are taken to the dentist at age one or before age one, or when the first tooth comes through into the mouth." A routine checkup and clean can cost between $150 and $300 dollars for an adult, and research shows that around 2 million Australian adults are skipping or delaying dentist checkups. But, while dental for adults is not covered by Medicare, the government does offer eligible families up to $1,132 in dental care for children every two years. To be eligible for the Child Dental Benefit Schedule, children must be 17 or younger, eligible for Medicare, and have one parent or guardian receiving a government payment at least once that year. With only 38 per cent of those eligible actually claiming it, the Australian Dental Association says it's important that parents know if they're eligible and how to access it. Dr Sanzaro says delaying treatment for children reduces their options for treatment. "Children who attend the dentist early, we can find the holes in their teeth. If there's any decay developing, we can find that much earlier when it's smaller. When they're really small, that's a reversible condition. And when they're still quite small, that's something that's relatively easy to fix with fillings. Problem with waiting for children to get to the dentist when they're experiencing pain or discomfort is often those holes are so deep into the teeth. There's much less reduced options for treatment, including the need to potentially extract teeth. And that's not a fun experience for kids or for the dentist or parents. So it's much easier and better to get the kids in earlier when we can find these problems before they develop into something larger." Between 2018 and 2022, the data reveals that First Nations children were accessing the scheme at consistently lower rates than non-Indigenous children. And while a lack of awareness around the program is one key factor in its low uptake rate, it's not the only one. Abe Ropitini is the Executive Director of Population Health at VACCHO, or the Victorian Aboriginal Community Controlled Health Organisation. He has told SBS that there are two key issues that make the scheme inadequate for First Nations people. "One is that regardless of the fact that we have the scheme, there is an overall lack of choice that Aboriginal and Torres Strait Islander families have in terms of getting access to culturally safe oral health and dental health services... So if you don't have a choice of provider that you and your family consider to be acceptable, then you won't have access to services and you won't ever utilise the scheme that's available to you." As well as the lack of culturally safe services, Mr Ropitini says it should not be on families to navigate complex funding programs in order to access primary healthcare. "It should really be simplified. It should be made more accessible in terms of understanding what your entitlements are, being able to have priority access to things without having to go into your records on how much you've been billed under that scheme in the past, whether your entitlements have renewed, whether or not you can still draw down from a particular budget or whether you're even eligible for it." Dr Madhan Balasubramanian is a Senior Lecturer in Health Care Management at Flinders University. In his research, he's studied why families from culturally and linguistically diverse backgrounds experience widespread inequalities in dental care. He says there are a variety of reasons this demographic of people might not be going to the dentist. "So what we actually found out was in addition to cost is also confidence in quality care. So how confident are migrant groups in terms of availing dental care services over here, that is an issue. Even greater is a confusing healthcare system for them. But they have to navigate through the different loops of the healthcare system to understand how to actually avail care and considering dental care, a large proportion of it is offered in private services for them to really understand how to actually use different benefits schemes. And also costs is a barrier for them as well. Public system, they have a big waiting list for them to be eligible they would need to meet certain criteria." Having healthy teeth and gums impacts more than just what's in your mouth. Oral hygiene and dental health is essential to our wellbeing, both mental and physical. One key suggestion given by both Dr Balasubramanian and Mr Ropitini was to better integrate dental into the primary health system. "Primary healthcare is extremely vital in migrants, who often go to GPs, GP clinics, doctors as the primary point of of consultation. So that's been that gateway to the healthcare system in Australia. So dental providers need to collaborate more actively with GPs, they need to collaborate more actively with other primary healthcare providers." Things like missing or decayed teeth can impact a person's self-esteem and according to some studies, even lower their employment prospects in customer facing roles. Mr Ropitini says the importance of oral health can't be understated. "So it reflects whether you have access to nutrition, whether you have access to a balanced diet, whether you are therefore going to be healthy in other ways. So oral and dental health care is essential and fundamental to everything in your broader health and wellbeing. And it is madness that the system is separated, doesn't integrate, is culturally unsafe, and the funding landscape is over complicated for families impossible to navigate. I'm not surprised at all that we have seen, the outcomes that we are seeing at the moment. Something's got to be done."

New telehealth rules will stop Australians getting healthcare, nurses say
New telehealth rules will stop Australians getting healthcare, nurses say

The Advertiser

timea day ago

  • The Advertiser

New telehealth rules will stop Australians getting healthcare, nurses say

Regional and remote Australians could lose healthcare access because of new telehealth rules, nurse practitioners say. From November 1, patients of nurse practitioners - nurses with advanced training - will have to see them in person once a year to get Medicare rebates for virtual appointments. These rules, set by the federal government, already apply to general practitioners. Canberra-based Isabel Reeves runs a business helping people manage their Type 1 diabetes. She has 580 patients from every state and territory of Australia, including some living very remotely, such as on stations in Western Australia and the Hayman Islands in Queensland. Simon Rattenbury, 55, is one of these patients. Originally from Yass, he spent two years travelling around Australia and now lives in Darwin. He said his GP does not know much about type 1 diabetes, which impacts about one in 200 Australians. "Over the phone, I can still ask exactly the same questions as what I can ask face to face," Mr Rattenbury said. "[The changes are] making people use practitioners or doctors or educators that they're not real comfortable with." Mr Rattenbury said he would fly from Darwin to Canberra once a year to make sure he can continue seeing Ms Reeves with a Medicare rebate. Charles Darwin University adjunct associate professor Chris Helms, based in Canberra, said that as a primary healthcare nurse practitioner, he "can diagnose and treat just about everything you might see in a typical general practice". He specialises in gender-affirming healthcare and sexual health and can prescribe medication to people with conditions like HIV, hepatitis B and C. Many of his patients live regionally and sought him out because they could not get care in their local area or felt unsafe doing so. "This is a cost-shifting measure by the government, which further marginalises my patients by hitting their pocketbooks during a cost-of-living crisis," he said. Chief executive of the Australian College of Nurse Practitioners, Leanne Boast, said nurse practitioners were filling gaps created by GPs leaving remote areas. "A lot of nurse practitioners ... reach out into rural and remote communities more. We're also more likely to provide mobile services at times, home visiting, and things like that," Ms Boast said. "This rule means that a nurse practitioner or a group of nurse practitioners couldn't take over that practice and set up and provide services to the local community and outreach via telehealth to a region around them." She said nurse practitioners were being singled out, as the rules would not apply to allied health practitioners. A federal health spokesperson said the government wants to discourage online-only health businesses. "Higher quality care is achieved through telehealth [when a] patient has an ongoing relationship with their provider," they said. "There are risks of lower quality and lower value care when telehealth is not used optimally. This can include missed opportunities for early diagnosis and intervention." Telehealth services exempt from this new requirement include care for children under the age of 12 months, homeless people, patients of Aboriginal medical services, people isolating with COVID, impacted by a natural disaster or being treated for blood-borne viruses, sexual or reproductive health issues. The Royal College of General Practitioners said bringing nurse practitioner rules in line with GPs shows respect for the profession. But Ms Boast said nurse practitioners were disadvantaged compared to GPs. "There's no bulk-billing incentives, there's much lower rebates, there's no practice incentives to support nurse practitioners setting up and operating practices," she said. Nurse practitioners cannot enrol in MyMedicare, a new federal government initiative that allows patients to use telehealth for two years, unless they are connected to a GP. Regional and remote Australians could lose healthcare access because of new telehealth rules, nurse practitioners say. From November 1, patients of nurse practitioners - nurses with advanced training - will have to see them in person once a year to get Medicare rebates for virtual appointments. These rules, set by the federal government, already apply to general practitioners. Canberra-based Isabel Reeves runs a business helping people manage their Type 1 diabetes. She has 580 patients from every state and territory of Australia, including some living very remotely, such as on stations in Western Australia and the Hayman Islands in Queensland. Simon Rattenbury, 55, is one of these patients. Originally from Yass, he spent two years travelling around Australia and now lives in Darwin. He said his GP does not know much about type 1 diabetes, which impacts about one in 200 Australians. "Over the phone, I can still ask exactly the same questions as what I can ask face to face," Mr Rattenbury said. "[The changes are] making people use practitioners or doctors or educators that they're not real comfortable with." Mr Rattenbury said he would fly from Darwin to Canberra once a year to make sure he can continue seeing Ms Reeves with a Medicare rebate. Charles Darwin University adjunct associate professor Chris Helms, based in Canberra, said that as a primary healthcare nurse practitioner, he "can diagnose and treat just about everything you might see in a typical general practice". He specialises in gender-affirming healthcare and sexual health and can prescribe medication to people with conditions like HIV, hepatitis B and C. Many of his patients live regionally and sought him out because they could not get care in their local area or felt unsafe doing so. "This is a cost-shifting measure by the government, which further marginalises my patients by hitting their pocketbooks during a cost-of-living crisis," he said. Chief executive of the Australian College of Nurse Practitioners, Leanne Boast, said nurse practitioners were filling gaps created by GPs leaving remote areas. "A lot of nurse practitioners ... reach out into rural and remote communities more. We're also more likely to provide mobile services at times, home visiting, and things like that," Ms Boast said. "This rule means that a nurse practitioner or a group of nurse practitioners couldn't take over that practice and set up and provide services to the local community and outreach via telehealth to a region around them." She said nurse practitioners were being singled out, as the rules would not apply to allied health practitioners. A federal health spokesperson said the government wants to discourage online-only health businesses. "Higher quality care is achieved through telehealth [when a] patient has an ongoing relationship with their provider," they said. "There are risks of lower quality and lower value care when telehealth is not used optimally. This can include missed opportunities for early diagnosis and intervention." Telehealth services exempt from this new requirement include care for children under the age of 12 months, homeless people, patients of Aboriginal medical services, people isolating with COVID, impacted by a natural disaster or being treated for blood-borne viruses, sexual or reproductive health issues. The Royal College of General Practitioners said bringing nurse practitioner rules in line with GPs shows respect for the profession. But Ms Boast said nurse practitioners were disadvantaged compared to GPs. "There's no bulk-billing incentives, there's much lower rebates, there's no practice incentives to support nurse practitioners setting up and operating practices," she said. Nurse practitioners cannot enrol in MyMedicare, a new federal government initiative that allows patients to use telehealth for two years, unless they are connected to a GP. Regional and remote Australians could lose healthcare access because of new telehealth rules, nurse practitioners say. From November 1, patients of nurse practitioners - nurses with advanced training - will have to see them in person once a year to get Medicare rebates for virtual appointments. These rules, set by the federal government, already apply to general practitioners. Canberra-based Isabel Reeves runs a business helping people manage their Type 1 diabetes. She has 580 patients from every state and territory of Australia, including some living very remotely, such as on stations in Western Australia and the Hayman Islands in Queensland. Simon Rattenbury, 55, is one of these patients. Originally from Yass, he spent two years travelling around Australia and now lives in Darwin. He said his GP does not know much about type 1 diabetes, which impacts about one in 200 Australians. "Over the phone, I can still ask exactly the same questions as what I can ask face to face," Mr Rattenbury said. "[The changes are] making people use practitioners or doctors or educators that they're not real comfortable with." Mr Rattenbury said he would fly from Darwin to Canberra once a year to make sure he can continue seeing Ms Reeves with a Medicare rebate. Charles Darwin University adjunct associate professor Chris Helms, based in Canberra, said that as a primary healthcare nurse practitioner, he "can diagnose and treat just about everything you might see in a typical general practice". He specialises in gender-affirming healthcare and sexual health and can prescribe medication to people with conditions like HIV, hepatitis B and C. Many of his patients live regionally and sought him out because they could not get care in their local area or felt unsafe doing so. "This is a cost-shifting measure by the government, which further marginalises my patients by hitting their pocketbooks during a cost-of-living crisis," he said. Chief executive of the Australian College of Nurse Practitioners, Leanne Boast, said nurse practitioners were filling gaps created by GPs leaving remote areas. "A lot of nurse practitioners ... reach out into rural and remote communities more. We're also more likely to provide mobile services at times, home visiting, and things like that," Ms Boast said. "This rule means that a nurse practitioner or a group of nurse practitioners couldn't take over that practice and set up and provide services to the local community and outreach via telehealth to a region around them." She said nurse practitioners were being singled out, as the rules would not apply to allied health practitioners. A federal health spokesperson said the government wants to discourage online-only health businesses. "Higher quality care is achieved through telehealth [when a] patient has an ongoing relationship with their provider," they said. "There are risks of lower quality and lower value care when telehealth is not used optimally. This can include missed opportunities for early diagnosis and intervention." Telehealth services exempt from this new requirement include care for children under the age of 12 months, homeless people, patients of Aboriginal medical services, people isolating with COVID, impacted by a natural disaster or being treated for blood-borne viruses, sexual or reproductive health issues. The Royal College of General Practitioners said bringing nurse practitioner rules in line with GPs shows respect for the profession. But Ms Boast said nurse practitioners were disadvantaged compared to GPs. "There's no bulk-billing incentives, there's much lower rebates, there's no practice incentives to support nurse practitioners setting up and operating practices," she said. Nurse practitioners cannot enrol in MyMedicare, a new federal government initiative that allows patients to use telehealth for two years, unless they are connected to a GP. Regional and remote Australians could lose healthcare access because of new telehealth rules, nurse practitioners say. From November 1, patients of nurse practitioners - nurses with advanced training - will have to see them in person once a year to get Medicare rebates for virtual appointments. These rules, set by the federal government, already apply to general practitioners. Canberra-based Isabel Reeves runs a business helping people manage their Type 1 diabetes. She has 580 patients from every state and territory of Australia, including some living very remotely, such as on stations in Western Australia and the Hayman Islands in Queensland. Simon Rattenbury, 55, is one of these patients. Originally from Yass, he spent two years travelling around Australia and now lives in Darwin. He said his GP does not know much about type 1 diabetes, which impacts about one in 200 Australians. "Over the phone, I can still ask exactly the same questions as what I can ask face to face," Mr Rattenbury said. "[The changes are] making people use practitioners or doctors or educators that they're not real comfortable with." Mr Rattenbury said he would fly from Darwin to Canberra once a year to make sure he can continue seeing Ms Reeves with a Medicare rebate. Charles Darwin University adjunct associate professor Chris Helms, based in Canberra, said that as a primary healthcare nurse practitioner, he "can diagnose and treat just about everything you might see in a typical general practice". He specialises in gender-affirming healthcare and sexual health and can prescribe medication to people with conditions like HIV, hepatitis B and C. Many of his patients live regionally and sought him out because they could not get care in their local area or felt unsafe doing so. "This is a cost-shifting measure by the government, which further marginalises my patients by hitting their pocketbooks during a cost-of-living crisis," he said. Chief executive of the Australian College of Nurse Practitioners, Leanne Boast, said nurse practitioners were filling gaps created by GPs leaving remote areas. "A lot of nurse practitioners ... reach out into rural and remote communities more. We're also more likely to provide mobile services at times, home visiting, and things like that," Ms Boast said. "This rule means that a nurse practitioner or a group of nurse practitioners couldn't take over that practice and set up and provide services to the local community and outreach via telehealth to a region around them." She said nurse practitioners were being singled out, as the rules would not apply to allied health practitioners. A federal health spokesperson said the government wants to discourage online-only health businesses. "Higher quality care is achieved through telehealth [when a] patient has an ongoing relationship with their provider," they said. "There are risks of lower quality and lower value care when telehealth is not used optimally. This can include missed opportunities for early diagnosis and intervention." Telehealth services exempt from this new requirement include care for children under the age of 12 months, homeless people, patients of Aboriginal medical services, people isolating with COVID, impacted by a natural disaster or being treated for blood-borne viruses, sexual or reproductive health issues. The Royal College of General Practitioners said bringing nurse practitioner rules in line with GPs shows respect for the profession. But Ms Boast said nurse practitioners were disadvantaged compared to GPs. "There's no bulk-billing incentives, there's much lower rebates, there's no practice incentives to support nurse practitioners setting up and operating practices," she said. Nurse practitioners cannot enrol in MyMedicare, a new federal government initiative that allows patients to use telehealth for two years, unless they are connected to a GP.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store