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.
-
Developing the nation’s first Health and Medical Research Strategy
Professor Steve Wesselingh serves as the CEO of NHMRC, having initially trained as an infectious diseases doctor. His career includes prominent roles such as Head of the Infectious Diseases Unit at the Alfred Hospital, Director of the Burnett, Dean of Medicine at Monash University, and the inaugural Director of SAHMRI. Under his leadership, NHMRC plays a critical role in funding health and medical research, allocating approximately a billion dollars annually to investigator-led projects, clinical trials, and various strategic initiatives. NHMRC also collaborates internationally with organisations such as the MRC and the EU, and manages grant allocation for the MRFF, which distributes $650 million each year.
-
Analogy of the system, rather than the ED front door
“The problem of blockages shows up in ambulance ramping and long wait times, but this is a complex issue requiring whole-of-health system solutions,” according to Professor Hugh Grantham, Chair of Emergency Medicine Foundation in an interview with Australian Health Journal.
-
Sydney North Neighbourhood Health Hubs to approach health and welfare in holistic way
Many people struggle to access the right care at the right time, leading to gaps, delays, and confusion when navigating the health system. By fostering collaboration and integration, the Wellbeing Collaborative will support a primary care system that works better together, making it easier for individuals to receive early intervention and preventative care. By working together and in partnership, Sydney North Health Network aim to create more connected, accessible, and person-centred services that address key health challenges locally, including chronic illness, mental health, aged care, alcohol and other drugs (AOD), and suicide prevention.
