DIARY OF A PARAMEDIC IN A PRIMARY HEALTH CARE CLINIC Examining the attributes and practices of paramedics working in primary health care contexts
With
Alecka Miles, Lecturer
Edith Cowan University, Western Australia &
Community Paramedic,
Dianella Family Medical Centre, Western Australia
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Perth, Western Australia | October 2025
Alecka Miles is a lecturer at Edith Cowan University and works as a paramedic in a multidisciplinary team at Dianella Family Medical Centre in Metropolitan Perth, Western Australia.
Community paramedic roles have a history in Australia, dating back to 2007 in New South Wales and followed by similar initiatives in South Australia and New Zealand. Alecka’s position emerged after she sought to evaluate how paramedics could integrate into general practice, ultimately leading to a job offer post-COVID lockdown in 2020. Her skills, particularly in cannulation, proved valuable as healthcare shifted towards primary care.
In her role, Alecka conducts community health assessments, providing insights from her paramedic background. She notes a significant learning curve, having expanded her role far beyond her initial experiences in ambulance services.
Alecka’s research aims to explore the practices and demographic characteristics of paramedics working in primary healthcare contexts in Australia and New Zealand.
At Dianella, she collaborates with nurses and other healthcare professionals, emphasising patient-centred and holistic care. Their teamwork is characterised by mutual respect and recognition of each other’s strengths, fostering a supportive environment for managing both urgent care and chronic disease management.
Australian Health Journal spoke to her about her day to day experience in general practice.
Source: Written from transcript
Footage credit: ACPIC24, Australasian College of Paramedicine
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Global GP Conference comes to Australia
Over 3000 delegates from around the World will gather at the 50th celebration of WONCA to reconnect and revive General Practice, sharing knowledge and learnings on access, equity, funding, and multidisciplinary care teams. This includes networking with Australian and overseas GPs and in particular learning about primary care practices in other countries.
Australian Health Journal met with Dr Nicole Higgins, President of RACGP in transit at Brisbane Airport recently and she spoke about the $6 Billion allocated in the Federal Budget in May as a significant achievement for General Practice investment. She also emphasised this announcement reinforced GPs should be at the centre of multidisciplinary care teams to ensure continuity of care and better health outcomes.
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Imperatives for women diagnosed with ovarian cancer
Professor Clare Scott, a pioneering clinician scientist at the Walter and Eliza Hall Institute of Medical Research in Melbourne, also serves as a medical oncologist at Peter MacCallum Cancer Centre, the Royal Melbourne Hospital, and the Royal Women’s Hospital.
Her comprehensive training in medical oncology has fuelled her specialisation in gynaecological cancer, combining rigorous research with clinical trials to improve patient outcomes. With over a decade of involvement in ANZGOG, Australia’s foremost gynaecologic cancer research organisation, she is deeply committed to advancing research and saving lives.
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Primary care remodelled
Tracey Johnson is the CEO of Inala Primary Care, a not-for-profit general practice located in Inala serving approximately 7000 patients; 4400 of whom attend clinic regularly. Inala is a suburb of Brisbane, Queensland and has a population of great cultural and linguistic diversity, with just under 40% of residents speaking English at home. It is also one of Queensland’s most socioeconomically marginalised urban areas.
Australian Health Journal spoke with Tracey on the role of Inala Primary care in reducing hospital admissions.
