Managing the busiest urgent care clinic in Victoria

Priority area: Population health
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Medicare Urgent Care Clinics (UCCs) do plenty of the heavy lifting when it comes to patient care in south east Melbourne.

Known as Priority Primary Care Centres when they were first introduced in 2022, the Medicare UCCs, which are led by general practitioners (GPs), aim to improve timely and accessible primary health care, relieving busy emergency departments and reducing wait times. SEMPHN has commissioned 4 Medicare UCCs in Dandenong, Frankston, Narre Warren and Prahran.

Pictured:  Dandenong Medicare UCC Clinical Lead Dr Hamid Fairoos

Unlike an ED, which is equipped to deal with life-threatening emergencies, we manage patients who would otherwise wait for hours in a busy ED.

Medicare UCCs are open for extended hours – 14 hours per day, 7 days a week, including all public holidays – and are staffed by urgent care doctors and nurses. Patients do not need an appointment or referral; they can simply walk-in and wait to be seen. Medicare UCCs also offer a free service for patients with or without a Medicare card, making them accessible to vulnerable and underserviced populations.

The SEMPHN Medicare UCC program team regularly visits the clinics and arranges virtual meetings with clinic staff, assisting with establishing local referral pathways and connections to various health services, and offering advice and support into the operations of the clinics. 

Dandenong Medicare UCC – visited by former Attorney General of Australia and Federal Member for Isaacs The Hon Mark Dreyfus KC MP and other MPs this year – is the busiest in Victoria. 

Co-located within Greens Medical Group, health providers at the clinic see between 450 and 550 Medicare UCC patients a week. Clinical Lead Dr Hamid Fairoos says more than 50% of presentations are outside standard business hours, highlighting the role of Medicare UCCs in bridging the gap between GP access and emergency departments (EDs). 

“Unlike an ED, which is equipped to deal with life-threatening emergencies, we manage patients who would otherwise wait for hours in a busy ED,” he says. 

Medicare UCCs treat conditions such as mild to moderate infections, suspected urinary tract infections, suspected fractures and sprains, back pain, muscle strains, minor cuts, burns, insect or animal bites, heartburn, nausea and abdominal discomfort, headaches, migraines, brief fainting, mild to moderate asthma flare-ups, severe coughs, mild allergic reactions, and skin irritations.

Dandenong Medicare UCC also has on-site services including radiology, pathology, cardiac diagnostics, and offers minor procedures, such as removal of foreign objects from eyes. In addition, the clinic is supported by visiting specialists, including cardiologists and endocrinologists.

The patient base reflects Dandenong’s cultural diversity, treating people from a broad range of cultural backgrounds, including Afghan, Sri Lankan, Indian, Pakistani, Chinese, Africa, and Pacific Islander communities. The Medicare UCC staff speak a total of 15 different languages.

All Medicare UCCs have established escalation protocols with nearby hospitals and Ambulance Victoria.

“For cases outside our scope – such as stroke symptoms, heart attacks, or complex trauma – we stabilise the patient, complete essential diagnostics such as ECGs (electrocardiograms) and pathology, and coordinate transfer to EDs with clear handover documentation,” says Dr Fairoos. “Our clinicians also contact on-call ED staff when necessary to ensure continuity and proper triage upon arrival.” ​​

In an emergency, always call Triple Zero (000) or go to the nearest emergency department.

Pictured:  One in three 2024–25 Medicare UCC patients were children 

Urgent care and emergency care

Urgent care

is needed when you have an injury or illness that can’t wait for a regular general practitioner appointment but is not life-threatening.

Emergency care

is needed when you have an injury or illness that is life-threatening. Call Triple Zero (000) or go to your nearest emergency department.

Did you know?

Dandenong Medicare UCC

is the busiest Medicare UCC in Victoria

63%

more visits to Dandenong Medicare UCC than the statewide Medicare UCC average of 13,448

Greater Dandenong and Casey

residents make up 45% of all presentations to our Medicare UCCs

What patients are saying

This is a vital service for our community, especially for patients who would otherwise have to wait an extremely long time before getting medical attention at an ED (we have a few options on the Mornington Peninsula). I believe it's critical we raise awareness of this care pathway for those who may not be able to see their GP during business hours or require medical attention that doesn't necessarily need a trip to the ED.

I was seen very quickly and was involved in the diagnosis of my issue. The nurse was friendly and caring and the doctor shared his ideas with me and was willing to listen to alternatives for my treatment.

Love that this clinic exists. It is the perfect middle ground between emergency and GPs. [I like the] availability and proximity to home. It's an excellent service to have access to a doctor for urgent matters at short notice.

Very welcoming and quick service. I didn’t have to wait very long. The nurse was comforting and explained what I needed to do to help me with my situation. Her instructions were very easy to follow. [Visiting] urgent care took away the long wait I’d [have] had … if I visited the ED.

60000

south east Melbourne Medicare UCC visits in 2024–25

0

visits to Dandenong Medicare UCC

10000

visits to Narre Warren Medicare UCC

0

visits to Frankston Medicare UCC

0

visits to Prahran Medicare UCC

0 %

patients were children

0 %

patients were First Nations people

0

visits delivered after-hours

0 %

of patients (25,895) said they would have gone to an ED had a Medicare UCC not been available

0 %

of patients were seen within 2 hours

0 %

of patients visiting an ED waited 4+ hours

Infection and injury

were the most common presenting conditions (88% of all presentations)

9 in 10

people returned home after successful treatment at a Medicare UCC

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