DIARY OF A PARAMEDIC IN A PRIMARY HEALTH CARE CLINIC Examining the attributes and practices of paramedics working in primary health care contexts
With
Alecka Miles, Lecturer
Edith Cowan University, Western Australia &
Community Paramedic,
Dianella Family Medical Centre, Western Australia
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Perth, Western Australia | October 2025
Alecka Miles is a lecturer at Edith Cowan University and works as a paramedic in a multidisciplinary team at Dianella Family Medical Centre in Metropolitan Perth, Western Australia.
Community paramedic roles have a history in Australia, dating back to 2007 in New South Wales and followed by similar initiatives in South Australia and New Zealand. Alecka’s position emerged after she sought to evaluate how paramedics could integrate into general practice, ultimately leading to a job offer post-COVID lockdown in 2020. Her skills, particularly in cannulation, proved valuable as healthcare shifted towards primary care.
In her role, Alecka conducts community health assessments, providing insights from her paramedic background. She notes a significant learning curve, having expanded her role far beyond her initial experiences in ambulance services.
Alecka’s research aims to explore the practices and demographic characteristics of paramedics working in primary healthcare contexts in Australia and New Zealand.
At Dianella, she collaborates with nurses and other healthcare professionals, emphasising patient-centred and holistic care. Their teamwork is characterised by mutual respect and recognition of each other’s strengths, fostering a supportive environment for managing both urgent care and chronic disease management.
Australian Health Journal spoke to her about her day to day experience in general practice.
Source: Written from transcript
Footage credit: ACPIC24, Australasian College of Paramedicine
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Primary care remodelled
Tracey Johnson is the CEO of Inala Primary Care, a not-for-profit general practice located in Inala serving approximately 7000 patients; 4400 of whom attend clinic regularly. Inala is a suburb of Brisbane, Queensland and has a population of great cultural and linguistic diversity, with just under 40% of residents speaking English at home. It is also one of Queensland’s most socioeconomically marginalised urban areas.
Australian Health Journal spoke with Tracey on the role of Inala Primary care in reducing hospital admissions.
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Intervention in hearing loss for patients
In her role as an audiologist and trainer, Lauren McNee emphasises the urgency of addressing sudden hearing loss, highlighting the time-sensitive nature of available treatment options. She advises healthcare professionals, including GPs, pharmacists, primary care nurses and specialists, to remain vigilant for subtle signs of hearing loss in their patients. Such signs may include difficulty following prescription guidelines, miscommunication during conversations, or non-verbal cues like a tilt of the head or asking for repetitions.
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Role of the Chief Nursing Officer
Professor Alison McMillan PSM spoke with Australian Health Journal about the role of Chief Nursing and Midwifery Officer at the Australian Government Department of Health and Aged Care.
Alison was appointed as our Chief Nursing and Midwifery Officer in November 2019.
In June 2021 Alison was awarded a Public Service Medal for outstanding public service to driving the Government’s national health response priorities during the COVID-19 pandemic, particularly to infection prevention measures.
