Unlike Emergency Departments that operate within public hospitals and some private hospitals, a Walk-in Specialist Emergency Clinic is located in the community and designed to provide comprehensive, coordinated acute care – from initial consultation and diagnostic services, to treatment and specialist referral if required – without the patient having to visit a hospital.
The first WiSE Clinic opened in Macquarie Park (North Ryde), New South Wales in early 2017, delivering immediate medical care when accidents or emergencies require more than a GP visit and are considered non-life threatening or unlikely to require admission to hospital.
Australian health journal spoke to the visionary, founder and CEO behind this WiSE Specialist Emergency clinic, Dr Pankaj Arora.
Dr Arora talks about the origins of his journey in emergency departments working in four continents as an Emergency Room physician for the past 28 years. His passion is to develop health care systems to help acute care in the community.
Stating 70% of people presenting at Emergency Departments in Australian Hospitals, not getting admitted, 7 years ago Dr Arora modelled these patients presenting to ER but breaking away from the hospital setting. This break away setting would deliver treatment by a team of doctors, allied health specialists, radiology, fracture clinic, chest pain clinic, TIA clinic, early pregnancy clinic and pathology services all co-located in the single facility.
Since putting the model in place and opening in 2017, the Macquarie Park WiSE Emergency Specialist Clinic has treated over 70,000 patients. Dr Arora sees it as a very efficient and cost effective model, where the patient is seen by a specialist in a multidisciplinary team within half an hour and receives results within an hour. He emphasises the clinic has not replaced General Practice nor the Emergency Department in hospital.
From the success of the Macquarie Park, NSW clinic, last year Dr Arora set his plans in motion to open a 2nd WiSE emergency specialist care clinic, this time in Queensland. This happened only after 3 years of planning and modelling prior to the opening of the new centre in September 2022. However since opening in Robina, Gold Coast, the new WiSE clinic has been treating on average 20 patients per day – a faster rate than the first 6 months of the Macquarie Park, NSW clinic.
In closing Dr Arora talks about the differences between the WiSE model and urgent care clinics. Scaled down versions of emergency care departments in urgent care centres fail to address the treatment required for patients between General Practice and at hospital emergency departments.
His plans now include opening 10 clinics in the next 5 years, with an expectation that 20-50 clinics would be needed across Australia in the medium to long term.
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Strengthening Evidence Through Health Research Where Most People Access Healthcare
In February 2025, the Australian Government committed over $22 million for primary care research, including $5.2m awarded to Professor Michael Kidd, Director of the International Centre for Future Health Systems at UNSW and recently appointed Australia’s Chief Medical Officer, to lead the establishment of one of the largest research collaborations in Australia focused on improving primary care.
The Royal Australian College of GPs says a new national multidisciplinary consortium for primary care research is a positive step forward to improve patient care.
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Global collaboration in pulmonary fibrosis research
Pulmonary fibrosis is a lung disease that occurs when lung tissue becomes damaged and scarred. The debilitating and fatal disease ended the life of an Australian man 8 years ago.
His son led philanthropic efforts to establish the connection between 2 Australian organisations; Lung Foundation Australia and Centre for Research Excellence in Pulmonary Fibrosis and the US based, Three Lakes Foundation. The three organisations recently announced a collaboration to create a global network for PF research.
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Australian Healthcare Week 2019: Pitch Fest Finalist Lumin
Startup company Lumin was a Pitch Fest Finalist at last week’s Australian Healthcare Week Expo in Sydney. The Lumin platform is used in aged care where loneliness and isolation can be a trigger for stroke and dementia. Lumin helps the connection to care providers, family members and duress monitoring services in a device that has been designed for those with dementia, vision impairment or find complex devices difficult to use.
Managing Director and Co-Founder Paul Wilson spoke at the Mepacs booth with Anne Dao from Australian Health Journal about the market they target and the design of the user experience, including the remote servicing and monitoring. The integration allows the monitoring team in the call centre see and hear the personal raising the alarm. Mepacs is a provider of personal duress alarms and have teamed up with Lumin.
