Carol Altmann – The Terrier

The change in ownership for the Warrnambool Medical Clinic has seen a huge change in staff since it was sold for $1.3m to Lyndoch Living in 2019.

It’s a little over 12 months since the clinic lost its practice manager – its chief administrator – who resigned after a decade in the job.

I have since learned that around 20 more staff have left the practice since then, including two GPs who resigned in recent weeks.

Two other GPs, you may recall, resigned immediately after Lyndoch Living took control of the practice in April 2019.

According to my sources, there is now only one nurse at the practice who has been there longer than 12 months, and another eight have resigned.

At least six reception staff have also left.

Not all the positions have been replaced.

What has happened, though, is a mirror of what has happened at Lyndoch Living itself these past five years: a balloon in the number of people with special titles.

Where there was once a single practice manager, there is now:

a Project Director Integrated Primary Health;

a Project co-ordinator Primary Care;

an Operations Manager Primary Health Care and;

a Practice nurse Clinical Lead.

It’s worth remembering that Lyndoch Living paid $1.3 million in 2019 to buy the “goodwill” of Warrnambool Medical Clinic, which means GPs on contract, staff and patient lists.

It didn’t pay $1.3 million for the actual building on the corner of Liebig St and Raglan Parade.

Given the high turnover of staff since then, and anecdotal evidence of patients transferring elsewhere, I can only ponder how much of that $1.3 million worth of “goodwill” still remains intact.

As for the building itself, the Standard’s Jackson Graham is reporting today that it is up for sale at an expected price of $1.2m to $1.3m.

According to the report, Lyndoch Living has a lease on the building until June 2022.

That is a mere 12 months away.

This might explain why Lyndoch is barrelling ahead with plans to build its new $24 million, 3000 sq/m medical clinic on Hopkins Rd, despite concerns around the financial viability of the project.

As we know, the Lyndoch board is continuing to refuse to explain how the clinic will be funded, how many tenants are locked in, and – most importantly – how much money it will create for the care of elderly residents.

At a cost of around $24 m, this project is even bigger than the new Warrnambool library at $20m but, unlike that project, it doesn’t have one cent of government funding.

The strange thing is, for less than $3 million, Lyndoch could have bought the Warrnambool Medical Clinic building AND all of its goodwill and maybe spent another couple of million bucks refurbishing what is a prime piece of real estate.

A $5 million investment sounds a lot less risky than $24 million.

As it is, that prime piece of real estate is now up for grabs and Danny Harris, the selling agent, says – wait for it – it would make an ideal medical clinic.

Carol Altmann – The Terrier

Remember that $1.3 million of public money paid by Lyndoch Living for the  “goodwill” of the Warrnambool Medical Clinic?

Well, the Practice Manager – the chief administrator – has resigned, giving just four weeks’ notice after what I understand is more than a decade in the job.

A big slice of that goodwill is going and is not easily replaced.

This latest resignation also follows two experienced GPs who resigned on the spot last April when Lyndoch laid out its plans as the new owners of the clinic and, I have a hunch, there will be more departures to come.

Nursing and administration staff have also left under circumstances which have been raising questions. (Does this sound familiar to you? If you are long-term readers of The Terrier, it should.)

The alarm bells have been ringing and now the house of Lyndoch is burning and I am not sure how much more the board can just keep explaining it all away.

Smoke? Smoke? That’s not smoke, it’s just a little sea mist rolling up from the mouth of the Hopkins River.

Until this latest bombshell, I had intended to tell you tonight about the official rejections of the latest people who applied to become members of Lyndoch, so I will squeeze this in too.

They include a recipient of the Order of Australia medal, Vicki Jellie, a former south-west MP Adam Kempton (who was once a Lyndoch board member), a former business journalist Steve Hynes (who has applied twice), and a bloke by the name of  Jim Burke, a familiar name on The Terrier Facebook page, who has a tidy little resume which I will repeat here:

“Jim served in the Royal Australian Navy for 24 years in communications and intelligence roles.

On retirement from the Navy, he was employed by Defence Signals Directorate (now Australian Signals Directorate) for 14 years before working for the Inspector-General of Intelligence and Security as a Senior Investigation Officer until his retirement in 2009.

His final roles in ASD and IGIS were compliance and governance related.”

Yet Jim – and Vicki and Adam and Steve and Lynn and all the others – received a  “thanks but no thanks” letter from Lyndoch in the mail.

This is all the evidence we need, surely, to say the membership process has become corrupted by something or someone and is failing to uphold the spirit on which Lyndoch was founded.

Let’s make no bones about it, this is all about keeping power and control.

Because under the Lyndoch constitution, members have voting rights. They can call meetings. They can ask questions at the AGM about things like paying $1.3m for the Warrnambool Medical Clinic. They might even – gasp – try to become a board member.

And Lyndochland™ can’t have that.

But here’s the really shocking bit: the people who are choosing to exclude the community, are from our community, and that is what surprises and hurts locals the most.

The current board is prepared to go along with this charade. Why?

Because it is an absolute charade and it will come crashing down eventually, just as it has when this sort of exclusion and manipulation has been tried elsewhere.

In a small community, you can only get away with it for so long.

I hope the Lyndoch board remembers this: they are the ones who will be held accountable, they live here, they are part of us, and one day they will be asked to explain why those who worried for Lyndoch, who had no motive other than care and concern, were turned away.

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Carol Altmann – The Terrier

One of the many concerns swirling around Lyndoch Living is whether its plan to build a multi-million dollar medical clinic will send the place broke.

It is important to understand that when Lyndoch bought the Warrnambool Medical Clinic and the Health Spot for a total of $1.6 million, it did not buy any physical buildings.

Lyndoch does not own the WMC building on the corner of Liebig St and Raglan Parade: that building remains privately owned by a handful of people.

The $1.3 million cost for the WMC was almost made up entirely of buying the goodwill, which basically means paying a lot of money on the hope that patients will still keep coming to that clinic.

Indeed the cost of the WMC assets was only $153,000, presumably made up of some furniture, some tissue boxes and maybe a couple of boxes of sterile gloves in assorted colours thrown in for good measure.

As part of this goodwill, the doctors sign a contract that they will hang around for a certain time and I believe these contracts are for two years.

Some doctors with the WMC wanted no part of the sale to Lyndoch, so they left early last year.

(Doctors are contractors, so, just like a plumber or a carpenter, they can be contracted to work for a certain time, but they can also leave at the end of that time. This means GPs are in control of their destiny with a clinic, not the other way around.)

And here is the crunch: while Lyndoch has paid $1.6 million to buy two medical clinics, it is now going to spend many more millions – we don’t know how many – to build a brand new clinic at Lyndoch, on Hopkins Rd.

This clinic, according to Lyndoch’s own words, will include GPs, allied health services, radiology services and maybe even a dentist.

Holymaloolah. Talk about moving away from your core business of looking after the old folks!

And this is why so many people are nervous. There are too many unanswered questions and too many examples of regional medical clinics that have gone belly up in the past 18 months, including the Tristar Medical Group in Mildura, Traralgon and Wangaratta; the Gunnedah Mackellar Rural Health Service, and, closer to home, the Ballan District Health and Care which has a model very similar to what Lyndoch is planning and which last year received a State Government bail out.

Google them all for a sobering read on risk.

If a medical clinic is such a great move for Lyndoch, why can’t we see the business plan?

Does Warrnambool need a brand new medical clinic at Lyndoch? Is there the demand?

Will the elderly residents be forced to use the GPs – and other services – at the clinic? Will the Lyndoch staff?

How much will it cost? Where is all the money coming from? What are the expected returns?

So, so many questions and still no answers, yet the wrecking ball – which will see Tomlinson wing demolished to make way for this clinic – is just a few months away from swinging.