Medical centre ditches after-hours service

Mornington Medical Centre general manager Marian Rillstone said its operating hours would now be from Monday to Friday, 8am to 6pm.

โ€˜โ€˜We will no longer provide an after-hours service.

โ€˜โ€˜We will be closed in the evenings and during weekends and public holidays.โ€™โ€™

Ms Rillstone said things were changing in the after-hours space in Dunedin, after Dunedin Urgent Doctors successfully won a government contract to provide a round-the-clock after-hours service.

โ€˜โ€˜That means our patients now have access to Dunedin Urgent Doctors.

โ€˜โ€˜I think there’s probably mixed feelings on it. I think that the GPs, for them, it’s released them from a significant burden of having to work additional hours after they’ve already worked for a week, and working in unsociable hours, like public holidays, and evenings.โ€™โ€™

Ms Rillstone said despite these changes, patients should still give the centre a call for all urgent matters in the daytime during the week.

โ€˜โ€˜What we’d like to do is encourage patients, wherever possible during the day, to be able to come to still see their own GP at our practice during the day.

โ€˜โ€˜We want to remind patients that we’ve got plenty of on-the-day bookable appointments.โ€™โ€™

Health New Zealand Te Whatu Ora Southern group manager for planning and intergration Aroha Metcalf said the new service, run by Dunedin Urgent Doctors, would open on Wednesday.

โ€˜โ€˜Health New Zealand understands the new service will have implications for other providers and expects individual general practices to make their own decisions about after-hours service provision.

โ€˜โ€˜Health New Zealand is confident the service will be able to meet demand. It will operate around the clock and be supported by a multidisciplinary clinical team, with access to diagnostics, pharmacy, and radiology. Health New Zealand will meet regularly with the provider to monitor demand and service performance.โ€™โ€™

Dunedin Urgent Doctors general manager Adam Oโ€™Byrne said there had been significant modelling and negotiations done in partnership with HNZ in the months leading up to the start of this new contract.

โ€˜โ€˜As with any new and major change such as this, there are operational and resource pressures.

โ€˜โ€˜We must find the staff to ensure we can offer the 24/7 service in a clinically safe manner in a very constrained environment and that has been our focus.โ€™โ€™ The service had also partnered with Emergency Consult, which was a telehealth service designed for urgent and episodic care with senior ED doctors on hand to support nursing and paramedic staff overnight, between 10pm and 8am.

* An earlier version of this article contained inaccuracies for which we sincerely apologise.

matthew.littlewood@odt.co.nz

Original source: nz