Eighteen months after the first of Labor’s promised Medicare Urgent Care Centres opened, the initiative is proving to be a vital addition to Australia’s healthcare system. Designed to fill gaps in emergency and general practice care, the centres have seen more than 1.2 million patients, helping to reduce strain on hospital emergency departments.Federal Health Minister Mark Butler, who spearheaded the program, initially faced pushback from some medical groups when the policy was announced during the 2022 election campaign. However, state governments embraced the idea, leading to rapid implementation. Negotiations with state health departments ensured that the centres worked in tandem with hospitals and ambulance services, preventing patients from falling through the cracks. In an exclusive interview with the Hawkesbury Post, the Minister spoke about the genesis of the critical care centres and how they have performed 18 months in.In 2023 alone, 58 centres were opened, followed by nearly 30 more last year. Today, 87 centres operate nationwide, providing seven-day-a-week care with extended hours and full bulk billing—an element Butler says is critical. “Making it free is a critical ingredient. Some previous models had out-of-pocket costs, which pushed people toward emergency departments instead,” he said.A significant portion of patients seeking care at these centres are children under 15, often for sports injuries or minor fractures. “If your kid breaks their arm on a Saturday afternoon, getting into a GP is almost impossible. Parents had no choice but to take them to emergency, where they could wait up to 10 hours behind more urgent cases,” Butler said. “These centres mean those children can get seen quickly, freeing up emergency departments to focus on life-threatening cases.”Beyond paediatric care, roughly a third of all visits to the centres occur on weekends, and many patients arrive in the evenings—times when GP access is limited. Hospital data suggests that non-urgent and semi-urgent emergency presentations have declined in areas where the centres are operating, allowing emergency staff to focus on critical cases.Despite some lingering criticism from a small section of the medical community, a 2023 survey found that 80% of emergency doctors and 70% of general practitioners viewed the centres as a positive addition to the healthcare system. “Initially, some GPs worried about the impact on their business, but they now recognise that most of these cases were never going to be seen by them at short notice,” Butler said. Importantly, the centres coordinate with existing GPs, ensuring continuity of care for patients.The model is not unique to Australia. Countries like New Zealand have had similar systems in place for decades, with significantly lower emergency department attendance per capita. “These centres fill a gap that every comparable health system has already addressed,” Butler noted.The Labor government has pledged to open 50 more centres if re-elected, including one in the Hawkesbury. Local MP Susan Templeman has advocated for an expansion, highlighting that the nearest centre in Penrith is too far for many residents. “If people can’t get to a centre easily, they’ll just go straight to emergency,” she said.The long-term vision is to ensure that four out of five Australians live within a 20-minute drive of a Critical Care Centre. Butler sees this as just the beginning, pointing to the United States, which has more than 15,000 urgent care clinics. “With 137 centres, we’re just starting to cover gaps in our system,” he said. “By the time we reach two million patient visits per year, we’ll have significantly reduced unnecessary emergency department demand while making sure people receive timely, quality care close to home.”Concerns about staffing the centres, particularly in regional areas, have so far not materialised. Butler noted that recruitment has been strong, even in traditionally hard-to-staff locations. “GPs and nurses want to work in these clinics,” he said. Many of the nurses come from emergency department backgrounds, drawn to the centres’ steadier pace and absence of overnight shifts.Local interest is already growing. Templeman said a GP in the Hawkesbury had reached out to learn more about the opportunity to be involved. If re-elected, Labor will launch a tender process for the next round of centres, with local GPs and community health centres invited to apply for funding to expand their practices.