A big health bungle by Federal Labor



GP's service at risk. Clinics left in limbo over after-hours incentive payments

New Medicare figures show that almost every family medical clinic in Australia will lose incentive payments to offer house calls or open their clinics after hours from July next year. The figures show more than half the GP clinics in Australia will lose the payments from July 2011, while many others will lose their incentive payments from July 2013.

Doctors have complained the Federal Government has left them in limbo with no idea of how replacement services will be offered.

The Federal Government armounced in the May Budget that it would enhance after-hours care by offering a national hotline staffed by nurses for emergency medical problems outside business hours. The service would then refer patients to GPs, who would offer after-hours care managed by a new govemment agency called Medicare Local. What the Budget papers did not say was that the current program that offers incentives for after-hours services would be axed.

According to information obtained by the Opposition last week, Medicare Australia has begun work to stop the old service and it will affect most practices in Australia. “lt is expected that 4750 practices will be affected from July 1, 2011 and a further 3100 practices affected from July 1, ZOI3,” Medicare said.

Royal Australian College of General Practitioners’ president Chris Mitchell said this meant almost all general practice clinics would lose funding for the service: “We really do need to ensure there is support. None of the structures around the transition is clear," he said.

The telephone service has been operating in New Zealand and the UK already with success, Dr Mitchell said, but added there had been no advice from govemment about how it would work in Australia.

Opposition health spokesman Peter Dutton said the reforms would send more people to emergency rooms because the hotline would err on the side of caution. Health Minister Nicola Roxon’s office did not respond to requests for details.

The report above by Simon Kearney appeared in the Brisbane "Sunday Mail" on 3 October 2010

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