Why Western NSW
At Western NSW LHD, we aim to be world leaders in Rural Generalism. We value the unique skill set of Rural Generalist doctors and foster a culture that supports our clinicians through an inclusive, collaborative and caring team environment.
Our Rural Generalist positions offer:
- great variety
- procedural work
- non-clinical roles including quality and safety, clinical governance and management
- education and training
- innovative remuneration packages
- coverage for better work life balance.
In addition to providing the highest quality rural healthcare, we are world-recognised leaders in the delivery of virtual services. We use a range of 24/7 virtual care programs with the aim to make your job easier, give a better work-life balance and provide support when challenging situations arise.
We also offer a range of employment models including employment as staff specialist in Rural Generalist positions.
The main reason many people join us is that they want to be a part of shaping the future of rural health. So, if you’re up for a challenge, are driven to make an impact and want to make your mark, we could be just what you are looking for.
Choose your own adventure
Many of our smaller sites are staffed by Rural Generalist General Practitioners. Our procedural facilities at Cowra, Forbes, Mudgee and Parkes have opportunities for Rural Generalists skilled in:
- Emergency Medicine.
Our non-procedural facilities have opportunities in Emergency Medicine and Aged Care.
How we support you
We are at the forefront of virtual care models designed to deliver patient care where and when it is needed and to support you by providing out of hours and weekend coverage. Models of virtual care used in our LHD include:
- vCare providing specialty-level advice, critical care expertise, transport, logistics, and coordination support
- Virtual Rural Doctors Service (VRGS) a comprehensive virtual service, the first of its kind in Australia where VRGS doctors work both virtually and in person to provide rural generalist medical coverage and fatigue management for existing VMOs
- Virtual Mental Health Emergency Care (MHEC) providing mental health assessments and emergency care to consumers across our district using teleconferencing to avoid unnecessary transport and trauma.
- Virtual Allied Health Service provides virtual access to Allied Health services including dietetics, occupational therapy, speech pathology, physiotherapy and social work.
These services have been recognised by the NSW Agency for Clinical Innovation and feature in the ‘Spotlight on Virtual Care’ reports, showcasing innovation and leadership in virtual health care delivery across NSW. Each initiative was selected and reviewed through a peer-based process.
Download a report on each of the models:
- Spotlight on Virtual Care: vCare (PDF 3.83MB)
- Spotlight on Virtual Care: Mental Health Emergency in NSW (PDF 1.97MB)
- Spotlight on Virtual Care: Rural Generalist Service (PDF 1.42MB)
Being based in a rural and remote area provides incentives and benefits not available in large regional or metro area, including:
- paid training days
- insurance rebates and
- if undertaking primary care, further training opportunities and the workforce incentive program.
Our salary packaging options include:
- up to $20,650 per year pre-tax deduction for living, meals and entertainment
- pre-tax moving costs
- rent while looking to buy in your new location, stamp duty on your new home and novated vehicle lease.
We're leading an innovative whole-of-health approach to care in rural communities. Servicing the ‘FourTs’ regional NSW communities (Tottenham, Trangie, Trundle and Tullamore), this innovative pilot model aims to address the challenges of primary care sustainability in rural communities. The model provides doctors with flexibility and support, so they can deliver whole-of-health care (primary and aged care alongside acute and emergency care) in a networked, single employer system.
About the Model
One of 5 pilot sites across Australia, the FourT’s is a fully networked single employer model of Rural Generalism, supported by the Collaborative Care Program, NSW Rural Doctors Network and Western NSW Primary Health Network, local councils and community groups.
Contemporary co-located GP practices are staffed and managed to allow focus on providing safe and high quality patient care. Recognising the importance of professional networks, a FourTs Rural Generalist is well connected, working with a collaborative team of colleagues across the FourTs with access to our District’s specialists for clinical input.
Our 24/7 Virtual Rural Generalist Service supports a good work-life balance to ensure minor presentations don't impact on your day-to-day life, particularly after-hours and on weekends.
Supporting quality and safety is a key model attribute, with time to allow discussion of difficult clinical scenarios and to contribute to system improvements to advance patient care.
Features of the Four T's model
The model recognises clinicians, by and large, want to focus on quality medicine, and many, particularly at the beginning of their Rural Generalism career, may not want to shoulder the risk and additional workload of setting up and managing their own practice. FourT’s also addresses the level of comfort a GPs has with acute and inpatient care.
As a single employer model, you will have access to competitive remuneration, where you can practice primary care that is outcome based, not based on patient volumes or billing. Whilst we are keen to see doctors move to our communities, we are happy to negotiate flexible employment arrangements including opportunities around fly-in, fly-out, relocation allowances or part-time appointments.
You will also have opportunities for learning and development through NSW Health training programs, funding for education, peer networking and support from dedicated medical leadership.
Finally, you’ll be able to shape the future of rural health through direct involvement in training the next generation of rural generalists via linkages with local universities and GP training. Opportunities to be directly involved with medical education and research are available in the region and can be discussed with interested doctors.
As a member of the FourT’s network, the infrastructure that underpins the delivery of services is outstanding. Primary care services are co-located with the town Multipurpose Service, linking seamlessly through a single-employer model with the acute services in these towns.
Doctors receive support from a dedicated team of administrative, nursing and practice staff coordinated by the FourT’s Medical Centre Manager. 24/7 telehealth is used to access a broader network of peers for advice and clinical input when required for emergency presentations and for access to specialist care.
FourTs doctors will also utilise telehealth to support their colleagues across communities whether to assist in workload pressures, leave relief or just to discuss difficult cases.
Out of hours, category 3-5 presentations are managed by the Virtual Rural Generalist team via telehealth, ensuring you get a good night’s sleep and appropriate work life balance.
We subscribe to the Rural Doctors’ Network concept of “easy entry, gracious exit,” recognising that some Doctors will want to include the FourTs as part of their career growth, and for others, we hope they will fall in love with our region, supported by this innovative model, and stay.
The FourTs model enables the practice of Rural Generalism with ease and is suited to an early career Rural Generalist who wants to develop their expertise in a supportive and collegiate environment or a seasoned practitioner who would like the autonomy to focus purely on practicing quality medicine.
The FourTs aspires to be world leaders in rural health care, integrating best-practice primary care principles and innovative approaches to acute care.
Applications are open for Rural Generalist Staff Specialist/Visiting Medical Officers in Tottenham, Tullamore, Trundle and Trangie.
Apply for a 4Ts role
A great place to live and work
Our region is so diverse, there's something for everyone. You can create a lifestyle where you live your best life, focusing on the things that really matter to you.
Learn about the Western NSW region and our unique lifestyle.
Closer than you think
You have the choice of several daily flights to Sydney from Dubbo, Bathurst, Orange, Parkes and Mudgee and several flights a week to Melbourne and Brisbane from Dubbo and Orange
It’s a 3 hour drive to Sydney and Canberra from Bathurst, 3.5 hours from Orange and 5 hours from Dubbo to Sydney.
We have multiple positions available in our procedural hospitals as Rural Generalist Staff Specialists, working for the service as a full-time employee or on a Sessional VMO contract to develop general practice alongside your hospital work. We're flexible and you can discuss your preferences with our team.
Find out more about our Procedural Hospitals and life in our regional communities:
Apply now - Procedural Hospital roles
As world recognised leaders in the delivery of 24/7 virtual care services you can use these services to make your job easier, provide a better work-life balance and receive support when challenging situations arise.
Find out more about our Multipurpose Services and life in our regional communities.
Apply now - Multipurpose Service roles
- Visiting Medical Officer - General Practitioner - Gulgong
- Visiting Medical Officer - General Practitioner – Condobolin
- Visiting Medical Officer - General Practitioner - Cobar
- Staff Specialist/Visiting Medical Officer - General Practitioner - Gilgandra
- Visiting Medical Officer - General Practitioner - Coolah