Jun

19

2025

Macksville Medical Centre celebrates 50 years

Lesa Hennessey remembers being rushed to the Macksville Medical Centre, covered in blood and glass in the back of her grandma’s car, when she was five years old.

She’d fallen over a milk jug at the family farm and glass was embedded in her chest. The scars that remain are a tangible reminder of this event and the care she received.

“Doctor Mayze saved my life that day,” she said.

Little did Lesa know that her journey would come full circle. Today, Lesa is a Registered Nurse, caring for her community at the very same practice.

She is one of the thousands of people who have been cared for by the doctors, nurses and the dedicated team at the Macksville Medical Centre over its long history, and she has provided care to thousands herself.

“The practice has treated so many people, seen their babies grow and their babies’ babies come in. My own grandparents came here and now my grandchildren visit the practice,” said Lesa, highlighting the trust the centre has in the community.

Celebrating 50 years

In May, the Macksville Medical Centre proudly celebrated 50 years of providing quality care at 36 Wallace Street, Macksville, marked by sharing cake and hearing stories of the practice’s significant history from long-term patients. The milestone is not just a celebration of longevity, but a testament to the enduring commitment to community care.

 

 

The journey of the Macksville Medical Centre began with a vision shared by the late Dr Paul Gan, Dr Mayze, and Dr Das to build a purpose-built medical facility on Wallace Street, Macksville. The practice – complete with pebble gardens, an x-ray room and a fishtank in the waiting room – opened its doors in 1975.

“The rooms were like the lap of luxury and not something we had seen before,” said Associate Professor, Dr Antonio Di Dio, Director of Professional Services Review with the Australian Government, who lived in Macksville as a child.

“The Macksville Medical Centre became an integral part of the town in the same way the Co-op and the pharmacies were. It certainly continued a proud tradition with incredible doctors servicing our little town.”

After a successful opening, Dr Gan went on to practice at the Macksville Medical Centre until his retirement in 2015, working tirelessly for over 50 years.

Dr Vince Edghill visited the practice in 1977 and later returned to join, serving the community until his retirement in 2021. NVC Group, a local not for profit, recognised how important the practice was to the local community, and stepped in to save the practice from closing.

In recent years, the Macksville Medical Centre has not only weathered the challenges of regional healthcare shortages but is flourishing under the leadership of practice manager, Casey Shorter, whose tireless work and commitment over the past three years have been instrumental in addressing the critical shortage of medical and allied health services in the region.

“I am seeing more of a shift to multidisciplinary models in practices, whether it is social, philosophical or financial imperatives I don’t know,” said Dr Antonio Di Dio.

“Rural medical practices are places for connection and healing as well as simple and complex primary care.”

Award-winning service

Casey’s impressive contributions to improving access to quality, affordable healthcare have garnered national recognition, with her story of a successful role as Practice Manager at the Macksville Medical Centre even being featured in the Department of Health and Aged Care’s current primary healthcare workforce media campaign.

Casey said, “The Macksville Medical Centre’s 50th anniversary on Wallace Street, is more than just a celebration of time; it’s a recognition of its vital role as a cornerstone of the community. The importance of places like our medical centre to local communities can’t be underestimated. I am truly grateful to do this rewarding work.”

Expanding the team

Adding to the celebratory atmosphere and the next chapter, the 50th anniversary coincides with a significant expansion of the practice’s services.

“The Macksville Medical Centre is delighted to welcome Joseph Pastega of Nambucca Podiatry, who is now providing services to the community from our rooms. The addition of Joseph’s services will help address a critical gap left from the recent closure of the Macksville’s last podiatrist.

“We’re thrilled to also welcome a new full-time male GP, Dr Muhammad Rafiq Azam, who has joined us on a permanent, long-term contract, allowing the practice to open its books to new patients,” said Casey.

With over 25 years of primary health care experience in several countries, and qualifications from Canada, Pakistan and the UK, this will be Dr Azam’s first time practicing in Australia.

Dr Azam said, “I’m delighted to be joining Macksville Medical Centre as a general practitioner. I’m excited to be part of a well-respected team with a long-standing commitment to quality health care. This opportunity means a great deal to me, as it allows me to serve a close-knit community and make a meaningful impact through continuity of care. I look forward to providing patient-centred care for all ages and gender groups, offering minor surgical procedures, and building long-term doctor–patient relationships based on trust.”

“For me, general practice plays a vital role in regional communities by offering accessible, holistic care and supporting the health and wellbeing of individuals and families across all stages of life.”

Looking forward

The Macksville Medical Centre’s expansion is not yet complete, there are still more new GP, nursing, and administration staff to commence in the coming weeks, adding to the much sought after, existing services offered at the centre, which include general practice by Dr Omotayo Lawal and Dr Sangita Khobragade, Amplifon audiology, multiple psychology services, and the free legal advocacy outreach service provided fortnightly by MNC Legal Centre.

“This commitment to bringing essential medical and allied health services together under one roof makes access for patients easier and underscores the centre’s dedication to the holistic wellbeing of the our community,” Casey says.

Contact

The Macksville Medical Centre is open 9am-4pm Monday to Friday, and new patients are welcome.

To find out more, visit their website and to book a doctor’s appointment please call 02 6568 1155.

Download the Centre flyer.

Our regional partners

  • Local Health District partners in our footprint: Mid North Coast Local Health District (MNCLHD) & Northern New South Wales Local Health District (NNSWLHD)
  • Aboriginal Medical Services (AMS)
  • The Royal Australian College of General Practitioners (RACGP)
  • Australian College of Rural and Remote Medicine (ACRRM)
  • Rural Doctors Network (RDN)
  • Rural Clinical Schools & Regional Training Hubs
  • General Practitioners
  • Registrars and International Medical Graduates
  • North Coast Allied Health Association (NCAHA)
  • Local Councils
    Pharmaceutical Society of Australia (PSA)
  • Universities including: Charles Sturt University (CSU), University of New South Wales (UNSW), Southern Cross University (SCU)

Aged Care Disaster Management Planning

Strategic Priority Area: One team

North Coast is identified as the region most likely to be impacted by climate change in Australia and also forecasted greatest growth in those 65+.

Healthy North Coast takes a lead role in ensuring the older population and the sector that supports them are prepared for, can respond to and recover from disasters and other emergencies.

We have led eight regional disaster management capacity building workshops, bringing together SES, community organisations and the aged care sector.

We have also developed disaster preparedness tip sheets for both residential and community aged care providers.

Voluntary Assisted Dying

Strategic Priority Area: One team

In May 2022, the NSW Parliament passed the Voluntary Assisted Dying Act 2022. Effective from Tuesday, 28 November 2023, eligible people have the choice to access voluntary assisted dying. 

Healthy North Coast has developed a webpage for both health professionals and consumers, with links to available information and resources.

Living with Dementia resources

Strategic Priority Area: No one is left behind

Healthy North Coast has worked with people living with dementia, their families and local service providers to develop an information booklet that will help them connect with local and national supports along their journey.

Highly regarded by a range of professional supporting those on or starting the dementia journey, the booklet includes commonly asked questions for people to ask their GP and/or specialist.

“It’s a fantastic resource and I give it to everyone on their first diagnosis. Its easy to read, so well planned and thought through and has lots of really useful information, tailored to the region.
I also find it very helpful when educating clinical staff.”

−Geropsychiatric Nurse Practitioner, Mid North Coast.

The resource is available in digital and printed copies, with more than 5,000 distributed across the region. An e-version is available to clinicians via the Dementia and Cognitive Impairment HealthPathway.

Deteriorating Resident Triage Tool Pilot

Strategic Priority Area: One team

The Deteriorating Resident Response Tool (DRRT) has been developed to guide RN’s in Residential Aged Care homes (RACHs) to better understand, anticipate and make clinical decisions responding to the deteriorating health of residents.

The objective of the DRRT is to give RACH staff clear information to triage and provide appropriate care for a range of residents’ health conditions, and, in turn, prevent unnecessary presentations to ED.

The tool has been designed together with a specialist geriatrician, consulting with stakeholders such as Residential Aged Care Managers, NSW Ambulance, GPs, and experts from Mid and North Coast LHDs.

The pilot commences in March with four participating RACHs. Evaluation measures will include effectiveness in building RN confidence and reported reduction in unnecessary hospitalisations. Findings will inform a future planned, region-wide implementation.

North Coast Care Finders Program

Strategic Priority Area: No one is left behind

The Care Finders program is a free region-wide service to support vulnerable older people who have no-one else to help them, to learn about, apply for and set up support services.

Care finders can help people understand what aged care services are available, set up an assessment, and find and choose services. They also help people with access to other supports in the community, both accessing services for the first time and changing or finding new services and supports.

Healthy North Coast is pleased to announce that, following a comprehensive procurement process, 2 organisations, EACH and Footprints, have been commissioned to deliver Care Finder services. With additional funding secured, this vital service will now continue through to 2029.

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Psychological services in residential aged care homes

Strategic Priority Area: Improving Lives Now

Healthy North Coast commissions two service providers to deliver psychological therapies and supports for older people with, or at risk of developing, a mental illness and who are living in residential aged care homes (RACHs).

The aim of the program is to both provide direct support to residents and their families and carers, as well as upskill the RACH workforce to respond to the needs of residents presenting with mental health concerns.

Healthy Towns. Healthy Communities.

Strategic Priority Area: Securing a Healthier Future

Connection and a sense of belonging are protective factors for both individual and community health and wellbeing. Evidence highlights that the social determinants of health play a critical role in addressing many of our regions health challenges.

That’s why Healthy North Coast has long been committed to supporting communities to strengthen and to build social health. Our initiatives, including contemporary ‘Social Prescribing’, help people to connect to activities, supports and each other, and assist communities to integrate services and bridge gaps.

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Telehealth in Residential Aged Care

Strategic Priority Area: Improving Lives Now

The Royal Commission into Aged Care Quality and Safety identified several critical areas affecting aged care residents and our health system. Key challenges include:

  • Limited access to general practitioners (GPs) and allied health professionals in aged care facilities.
  • Difficulties accessing out-of-hours services

Telehealth offers valuable opportunities to enhance support for residents living in aged care homes. Funded by the Commonwealth Department of Health and Aged Care, this initiative provides telehealth equipment and staff training as part of the response to the Royal Commission’s findings.

By improving access to primary care clinicians, specialist services, and other service providers through telehealth, we can significantly enhance health outcomes for residents, reducing unnecessary hospital transfers and emergency department visits.

The selection of telehealth equipment was guided by our Healthy Ageing Strategy (HAS), a comprehensive digital discovery questionnaire, and consultation workshops with various stakeholders. These efforts included interviews with residents to understand their attitudes toward telehealth, ensuring the initiative meets their needs and preferences.

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Greater Choice at Home Palliative Care Program

Strategic Priority Area: Improving Lives Now

Aims to provide people who have life limiting conditions the opportunity to exercise choice and receive high quality care at home, harnessing improved and better coordinated supports and services that meet their individual needs.

Program objectives:

  • Improve access to palliative care at home and support end-of-life care systems and services (in primary health care and community care)
  • To enable the right care at the right time and in the right place (to reduce unnecessary hospitalisation)
  • Generate and use data to support continuous improvement of services across sectors
  • Use available technologies to support flexible and responsive palliative care at home, including in the after-hours.

These objectives will contribute to achieving the following intended overarching outcomes of:

  • Improved capacity and responsiveness of services to meet local needs and priorities
  • Improved patient access to quality palliative care services in the home
  • Improved coordination of care for patients across health care providers and integration of palliative care services in their region.

Education & training funding elibility

Funding is open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.

Workforce Locum support and R&R funding criteria

  • Available to primary care services in disaster impacted communities within the Healthy North Coast footprint.
  • Available to support short-term workforce coverage, allowing clinicians to rest and recover.
  • Workforce-support funding in total is capped for each site, over a 12-month period:
    • $10k for GPs and/or
    • $5K for nursing and/or
    • $5k administration support and/or
    • $5K allied/pharmacy and other.
  • Funding is not to be used to fill gaps in staffing that have not been able to recruit to and not to replace existing staff.
  • Healthy North Coast will assess requirements and approve available funding directly with the service requesting support.
  • Priority will be given to sites that have immediate, short-term workforce support needs.
  • Requests will be reviewed and supported on a case-by-case basis.
  • Program funding administered via RCTI Agreement (Recipient Created Tax Invoice) to be paid monthly, or on completion of the placement (whichever comes first).
  • Practices will be required to complete a request for payment form monthly, or on completion of the placement (whichever occurs first).

Wellbeing Flexible Funding Criteria & Eligibility

  • Open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.
  • Activity must be purposeful, with the aim of increasing the wellbeing of your team.
  • Requests will be assessed on a case-by-case basis, with funding allocated based on team size.*
  • Following approval by Healthy North Coast, funding will be administered via RCTI Agreement (Recipient Created Tax Invoice) upon providing proof of expenses.
  • Funding cannot be used for the purchase of alcohol, or any other goods or services where the vendor cannot quote their Australian Business Number.
  • Planned activities must occur prior to 30th June 2024.
  • Funding will not be available for retrospective activities.
*Team Size
(Total staff and contractors)
Funding Available
Small (1-5)$500-$1500
Medium (6-20)$1500-$4000
Large (>20)$4000-$5000

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