Transcript-radio interview-ABC South East NSW Breakfast

EDDIE WILLIAMS: Bega will become home to a new Medicare urgent care clinic, while the existing clinic at Batemans Bay will see its hours extended under an election promise from the Labor Government. It's part of a $644 million commitment to open another 50 urgent care clinics across the country. The Member for Eden-Monaro is Kristy McBain. Good morning. 

KRISTY MCBAIN: Good morning, Eddie. 

WILLIAMS: How do these clinics work?

MCBAIN: These clinics are aimed at trying to free up emergency departments for real emergencies. Those urgent matters like cuts that need stitches, burns, a sprain at the local football on the weekend, minor breaks. Those things can all be done through the Urgent Care Clinic, so that you're not waiting in an emergency department, and you're leaving the resources there for people who need emergency care. 

WILLIAMS: Have they been effective in that? Or do patients often end up being referred to the emergency department anyway? 

MCBAIN: There are times where patients do get referred to the emergency department. I was at an Urgent Care Clinic yesterday, and previously they had referred someone who had chest pains to the emergency department. They do refer patients that are in emergency situations anyway, that's what they're required to do. It’s our health system working to its best, where we've got GPs taking care of those routine appointments, where you've got Urgent Care Clinics dealing with people that have got, urgent medical needs. Then you've got the emergency department dealing with those serious emergency issues in our hospitals. 

WILLIAMS: Why Bega as a location for one of these clinics? 

MCBAIN: We went to the last election with a commitment to open 50 Medicare Urgent Care Clinics and we've delivered 87. We know that they've been incredibly effective, but the locations of the additional 50 Medicare Urgent Care Clinics were determined based on advice from the Department of Health and Aged Care. The exact locations of those will be worked through with an independent commissioning process, which is the same process that has delivered the previous 87. That commissioning process is run by the primary health networks or state and territory governments, independent of the Commonwealth. We're looking at the data which shows where these clinics are best located, and making sure we're giving people more options and more choice for healthcare. 

WILLIAMS: When you say, you know that they're working, the Royal Australian College of GPs says there's been no sign of an evaluation to show whether they are actually providing value for money or helping keep people away from hospital. Is this really the best use of $644 million, or would, more support for GPs be a better bang for buck? 

MCBAIN: Obviously, we've strengthened Medicare rebates over the last three years. We've tripled that bulk billing incentive, and worked really closely with GPs on a whole range of things. The announcement we made to strengthen Medicare by a further investment of $8.5 million not only provides additional rebates in the Medicare system, it also provides more Commonwealth supported places at universities to train doctors. It provides scholarships to nurses and nurse practitioners to upskill themselves to get further qualifications. It provides incentives to get those medical graduates to take up the GP specialisation so that we can get more doctors into our system. That's on top of waiving HECS for doctors and nurse practitioners who go out and practice in rural and remote Australia. We're really focused on that workforce issue, as well as strengthening Medicare, as well as providing more healthcare options across our communities. 

WILLIAMS: Yeah. Does that work for workforce issue going to be a challenge here as well? How difficult will it be to staff these clinics? 

MCBAIN: The workforce issue has been there for many decades. What we're doing is concentrating on how we can get more people studying medicine at university. As I said, more Commonwealth supported places. We've worked with communities across the country to put in rural medical schools and training options into our regional hospitals so that people, when they come out and train in a regional area, are more likely to stay there. We are continuing to focus on that workforce issue with a number of the incentive programs that we've got now for doctors and nurse practitioners to go out into our region. We'll continue to focus on the training option as well as strengthening the rebates, as well as making sure we've got more care options. It’s incredibly important that we continue to keep those focuses on all aspects of healthcare. 

WILLIAMS: When would you hope that this clinic in Bega would open? 

MCBAIN: Obviously following the next election that independent commissioning process will be undertaken by the Primary Health Network or the state government, depending on who we partner with at that time. Hopefully we'll see one up and running very soon. 

WILLIAMS: You're hearing from Kristy McBain, the Member for Eden-Monaro. Labor's also promising to freeze the excise on beer. The Coalition's committed to the same. Will you consider freezing the tobacco excise as well?

MCBAIN: We've listened to communities and I've spoken to numerous publicans and club managers across our community. What we don't want to see is people not going out to socialise. We don't want to see some of our small businesses that provide social connection in our community fail because of the excise, which goes up by CPI twice a year. We’ve campaigned really heavily to make sure that this announcement was made. It's incredibly important that we continue to focus on how we can assist people with cost of living. This is another way, along with our cheaper medicines policy, the cheaper childcare policy. At this stage, we haven't discussed the excise on tobacco. 

WILLIAMS: Telstra held a community forum in Narooma on Friday. That was something you'd asked them to do after a lot of locals had poor mobile coverage during peak holiday season. How confident are you that things will be better next summer? 

MCBAIN: It was really good for Telstra to hear directly from community members about the frustrations they had with congested signals and call drop outs, particularly during the summer period. They have assessed the tower that services the main township of Narooma and have found that it is congested and they are looking at putting up additional spectrum on that tower. It's in addition to the work that they're doing for a new tower in Dalmeny, and small cells in mystery Bay, which have been funded already. It was incredibly pleasing for community to hear that their concerns were being heard, and that there is more work happening, particularly on that Narooma Tower with additional spectrum. It is important, though, that we continue to tell Telstra when there are problems, so that it can be reported and it can be looked into by the Telstra engineers. We remain open to passing that feedback directly to Telstra for consumers, if that's what's required. 

WILLIAMS: Couple of quick questions from the community on health. Jane asks where's the funding for dental clinics in the hospital and down at Pambula Community Centre? Or what can the government do when it comes to dental care in the region? 

MCBAIN: Obviously dental care is provided by Community Health through New South Wales Health. We continue to work with them on how we can provide more options to the community, particularly into dental care. The community health fair in Pambula does a great job, but it takes a while to get an appointment and we continue to work with the New South Wales Health Department on what additional options they can provide.

WILLIAMS: Robyn in Bega asks, if you have a fracture, wouldn't a hospital be faster than an Urgent Care Clinic? 

MCBAIN: At times an Urgent Care Clinic can be faster. We saw over the weekend when I was in Queanbeyan someone that came in with what appeared to be a fracture or a break in the foot. It turned out to be a serious sprain instead. They were in and out of that Urgent Care Clinic within an hour. It's important to know if you do need to be referred on to emergency department, you will, but in many cases,  it can be dealt with quicker through the emergency care centre. 

WILLIAMS: Kristy McBain, appreciate your time this morning. Thank you. 

MCBAIN: Good to be with you.