Cardiac Clinic Provides Continuity Of Care And Reassurance

Matthew Derbyshire, Peter Johnson, Sharelle Johnson, and Laurie-Anne Holmstrom. Photo supplied  

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Demand for the Mackay Base Hospital’s Cardiology Rapid Access Service (RAS) continues to grow as the service speeds up access to care and reduces pressure on the Emergency Department.

The nurse-led service has recorded more than 1500 patient encounters since opening in May 2025, with almost one in four patients subsequently avoiding an Emergency Department presentation.

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In July last year, the service recorded almost 90 presentations and helped 20 patients avoid the ED. This July, presentations increased to 150 – a 66 per cent increase – with 50 patients avoiding an ED visit.

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Mackay Hospital and Health Service Chief Executive Sean Birgan said the service provided an alternative pathway for patients with known cardiac conditions experiencing non-urgent concerns. These can include chest pain, palpitations, arrhythmias, shortness of breath, heart failure symptoms and medication queries, as well as wound reviews following cardiac procedures, cardiac device checks and follow-up after discharge.

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For 76-year-old Mackay man Peter Johnson, the service has become an important part of his recovery following major heart surgery. Peter has accessed the Cardiology RAS more than 10 times by phone or in person since undergoing triple bypass surgery in Townsville 10 months ago. His cardiac problems began in August last year when he developed atrial fibrillation and was referred to Mackay Base Hospital’s Cardiac Cath Lab for cardioversion.

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Following his bypass surgery in November, Peter returned home to Mackay but developed a post-surgical wound complication and contacted the Cardiology RAS. The service treated him immediately, beginning an ongoing relationship that has given Peter confidence to seek advice when something does not feel right. He has since returned for concerns including shortness of breath, heart palpitations and fluid overload.

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“I don’t hesitate to ring them,” Peter said.

“They will talk to you or see you and put you at ease immediately.”

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Peter now promotes the service through his involvement with North Mackay Rotary Club, encouraging others not to ignore symptoms or hesitate to seek advice.

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“When patients are unsure whether a symptom is serious or not, having somewhere to turn or someone to call can make all the difference,” he said.

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The Cardiology RAS is operated by an experienced clinical nurse consultant and nurse practitioner, who assess patients, resolve issues where possible and determine whether further treatment or escalation is required.

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The service’s growing use comes as World Heart Day approaches on 29^th September, with this year’s theme, ‘Don’t Miss a Beat’, focusing on recognising the signs and symptoms of heart disease and the importance of prevention. For cardiac patients, the service provides another avenue to seek timely advice and support when concerns arise.