Nurses take over primary care at new SmartClinics

Nurse Julie Farrelly

Lead Nurse Practitioner, Julie Farrelly, helps to prepare the new SmartClinics centre at Chermside, Brisbane. Picture: Lyndon Mechielsen
Source: The Australian





WHEN Australia’s first stand-alone nursing clinic opens its doors on Monday, patients will be greeted not by a receptionist but a “concierge”.


The sole GP, who will be on-site only half the time, will be referred to not as the doctor, but as the “medical adviser”.

Patients – to be called “customers” – will be guaranteed they will wait no longer than five minutes to be treated by one of the nurse practitioners, who, according to the clinic’s website, are “pretty smart”.

The brainchild of Brisbane entrepreneur Steven Dahl, the nurses’ clinic is an experiment in primary healthcare that is infuriating doctors, The Australian reports.

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The first in a planned chain of SmartClinics will open on Monday in Brisbane’s largest shopping centre, Westfield Chermside – a five-minute drive from the seven-day medical centre owned by the Australian Medical Association’s president, Steve Hambleton.

The clinic plans to hire up to 10 nurse practitioners, four midwives and a GP, who will supervise the nurses 40 hours a week and be on call the rest of the time.

Patients will need to use an online booking service to estimate the time needed to treat “everyday ailments”,  and a 20-minute consultation will cost $28 weekdays and $48 after-hours – less than the minimum Medicare payment to GPs and roughly half the cost typically charged by rival GP clinics.

But Dr Hambleton said nurse practitioners should only work in collaboration with doctors, in medical clinics dominated by GPs.

“What happens if a rash turns out to be meningitis and you don’t recognise it?” he said.

“They are not doctors, and when people are sick they really want to see a doctor.”

Mr Dahl said the nurses would call an ambulance in emergencies, and refer patients to the in-house GP or their regular family doctor to treat “more complex” problems.

Read more about patients seeing nurse practitioners at new SmartClinics at The Australian

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