Primary Health Networks (PHNs) were originally envisaged as local organisations that knew their local area and its needs and could tailor their programs to their individual circumstances. They arose following a review of the predecessors, Medicare Locals, by John Horvath in May 2014.
By devolving a lot of decision making from Canberra to 31 geographic areas each of just under a million people, the Federal Government could be more efficient in getting value for its health dollar. Many GPs welcomed this approach and looked forward to having a close working relationship with their PHNs to further primary care.
A criticism of the previous Medicare Locals was that, on occasions, they were direct providers of services and thus in competition with other similar providers in their areas. The conflict caused by this direct competition was deemed unfair by the Coalition government who prefer a market driven approach to funding government services. PHNs were thus designed to only be commissioners of services and provide no clinical services directly themselves.
- Written by David Guest
Dr Harry Freeman reflects on his long career.
In the 1970s my first year training in psychiatry was in a huge mental hospital in country New South Wales - there were ten such hospitals, all about 100 years old - sandstone, farm self-supporting, beautiful gardens - run by the nurses and only a couple of doctors.
A hospital house for working wife and baby (and Grandma), pay rise from $4,000 per annum as a similar RMO to $7000 as a registrar, ignorant, grandiose, political activist, anti-Vietnam, anti dominant paradigm, cocktail pianist, energetic and not hesitating. I felt good.
Making space – Building our story.
provided by Joanne Chad, UOW Program Coordinator
Staff and student community day with Emma Walke and Rebekah Hermann
Under the inspiration of Emma Walke and the Caucus Not Caucus committee of the UCRH, medical students from UOW, WSU and USYD, along with UCRH staff and community members participated in “Making Space- Building our Story”- two aboriginal culture learning and development days to make the items needed for a reflection/ bush tucker garden. Local aboriginal community members shared their knowledge of clapstick making, plants and pottery, with enthusiastic students producing their own sets of clap sticks and their own ceramic tiles. The tiles were individual’s contribution to ‘building our story’ and would later be added to the garden, part of an ever changing and growing river that will ‘build our story’ of the UCRH over time.
This year has been unforgettable, to paraphrase Nat King Cole (though not necessarily for the same reasons!). However, 2020 has presented NorDocs with some new opportunities, along with new challenges. We are pleased that membership has expanded from GPs to include all doctors working in the Northern Rivers.
We are also pleased that our Board membership has increased and we welcome new Lismore Base Hospital staff surgeon, Trafford Fehlberg, and Mullumbimby GP, Helen Lloyd, to the Board.
The aim of NorDocs is to represent all medical practitioners within our region and to advocate on any issue that either impacts us or which we feel needs addressing.
We try to be an open and welcoming forum for members to discuss any matters that they wish, as well as being a forum for further education of our members.
- Written by Dr Nathan Kesteven Chair Nordocs 2020
By James Hamblin
The Bodley Head 280pp
Book Review by Robin Osborne
Doubtless he will be popularised as the doctor who doesn’t wash – just one-part true – but there is much more to this fascinating book, as the sub-title suggests: “The new science of skin and the beauty of doing less.”
Let it be noted that Hamblin is not just any doctor but a lecturer at the Yale School of Public Health, a specialist in preventive medicine and a staff writer at The Atlantic. He can certainly write, and to quote someone else who can, the revered Dr Siddhartha Mukherjee (The Emperor of All Maladies, and much more), he has penned an “illuminating and engaging book”.
- Written by Robin Osborne
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