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.

Dr Harry Freeman

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.

NorDocs webinar

NorDocs like the rest of the medical profession embraced webinars this year for its education program. When it became clear in early Autumn that the annual NorDocs Unconference held each June would not be possible this year it was agreed to trial the webinar format.

The philosophy behind our education program has always been that there is great value in local doctors speaking with their colleagues about the latest developments in medicine and how these might best be applied in our region.

Historically new approaches in medical practice take ten years until they are widely adopted. While there are few major breakthroughs, multiple small innovations bring about significant changes in day to day practice. It has been argued that the half life of knowledge in medical practice is ten years. While this timeframe has been questioned, all agree that it is quickening.

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.