Services

We provide comprehensive care for patients of all ages, addressing acute and chronic health concerns, routine check-ups, and preventative health. Our focus is on supporting your overall wellbeing through personalised, professional care.

Dr Tom Leach has a special interest in Children’s health and additional qualifications in child health, including the Diploma of Child Health from Westmead Children’s Hospital and Advanced Paediatric Life Support. Tom has also spent 10 years working in Canberra Hospital Emergency Department, including being the Team Leader in the paediatric emergency department.

We provide all routine health checks and vaccinations for children, as well as dealing with any unexpected child health issues.

Structured care plans are available to help manage long-term conditions such as diabetes, cardiovascular disease, and arthritis. we work in partnership with allied health providers and specialists to deliver coordinated care.

There are two types of care plans that can be prepared by a General Practitioner (GP) under the Chronic Disease Management (CDM) program:

• GP Management Plan (GPMP)
• Team Care Arrangements (TCAs)

If you have both a GPMP and TCAs in place, you may be eligible for Medicare rebates for certain allied health services. These services must be directly related to the management of your chronic condition, and eligibility is assessed by your GP.

A chronic medical condition is one that has been (or is likely to be) present for six months or more – examples include asthma, cancer, heart disease, diabetes, arthritis, and stroke. There is no set list of eligible conditions; however, these plans are designed to support patients who require a structured, team-based approach to ongoing care.

A GP Management Plan (GPMP) provides an organised strategy for managing chronic illness.
A Team Care Arrangement (TCA) supports patients who need care from multiple providers by ensuring collaboration between your GP and other health or care professionals.

Once a plan is in place, it should be reviewed regularly. These reviews ensure that your health goals are being met and allow for any necessary changes to your care plan.

We offer comprehensive Men’s health care, including general check-ups, mental health, STI screening and testing, erectile dysfunction assessment and management and incontinence assessment.

We provide confidential and compassionate care across all areas of women’s health, including:

• Medical termination of pregnancy
• Contraception advice
• Family planning
• Cervical screening
• Menopause support
• Fertility discussions
• Shared pregnancy care

Dr Tom Leach is experienced in performing minor surgical procedures, including:

• Skin lesion removal
• Mole checks
• Cyst treatment
• Other skin-related care

All procedures include appropriate follow-up and histopathology when required. In most instances, an initial appointment will be required for assessment and to ascertain a course of action, and a subsequent appointment will be needed to carry out the procedure in the treatment room. Please discuss with reception when booking.

Dr Tom Leach has a keen interest in musculoskeletal health and sports and exercise medicine. We offer diagnosis and assessment of all types of joint and muscle pain including degenerative and inflammatory conditions as well as sprains, strains and sports injuries. Tom is currently studying for a Master’s of Sports Medicine at the University of Queensland.

We offer wide-ranging mental health assessment and management. Mental health care plans are available and entitle the patient to Medicare rebates for psychology sessions. Please book a double appointment for a mental health care plan.

We offer comprehensive preventative health advice and assessments including for; cardiovascular risk, screening programs – including for bowel, breast, prostate and cervical cancers, and general preventative health and lifestyle medicine advice. Dr Tom Leach has a particular keen interest in preventative medicine and diet and exercise medicine.

We work in the same building and in collaboration with Gower Wilson Memorial Hospital run by South East Sydney Local Health District. Emergency care is available 24 hours a day, 365 days a year. For serious and life-threatening emergencies, care is funded by the public health system for Medicare card holders. Other emergency care will attract a GP fee, including out-of-hours fees. See more information about the structure of our out-of-hours care here.

We offer driving medical assessment for private and commercial driving license holders. In some instances, referral to a specialist or further testing may be required to complete your assessment.

We offer a wide range of minor procedures. In addition to skin check and skin lesion excisions we offer Implanon insertion and removal, suturing and wound repair, cryotherapy, incision and drainage of abscesses, foreign body removal (skin, superficial soft tissue, ear and eye), ear syringing and microsection. We also offer iron infusion, vitamin B12 injection, corticosteroid injection and some other injections and infusions.

We provide a full range of immunisations for children, adults, and travellers, including:

• Routine childhood vaccinations
• Seasonal flu shots
• COVID vaccinations
• Pneumonia vaccinations
• Shingles vaccinaions

Immunisation helps protect individuals and the broader community from preventable diseases.
View the current NSW Health vaccination schedule:
https://www.health.nsw.gov.au/immunisation/Pages/schedule.aspx

We offer extensive pre-travel medical assessment and advice, including vaccinations. Please be aware that vaccinations usually have to be ordered from the mainland, and it is usually advised to have your vaccinations at least 2 weeks before travel. However, please note that we are not able to provide yellow fever vaccination. Please bring any previous immunisation records you have before your travel assessment.

Medical assessments for work, school, or travel can be arranged. These may include:

Appropriate documentation will be provided upon completion.

• Fitness to work assessments
• Health clearance for travel
• School health checks

We offer workers compensation assessment and certificates. Patients will be responsible for these accounts at the time of consultation unless a claim number is provided at the time of examination.  Should a claim subsequently become disputed then the liability for payment will revert to the patient for settlement within 30 days.

Home visits can be arranged for patients who are unable to attend the clinic due to illness or mobility concerns. Please contact reception to discuss eligibility, and availability.

We offer palliative care services, including home visits where appropriate. This is usually supported by a palliative care specialist team from your hospital of choice on the mainland. We make all efforts to offer a comprehensive service, but please be aware we are a very small team (one doctor and a handful of nursing staff) and may have to prioritise cases based on clinical need.

We run a blood test clinic twice a week, as well as a range of thero pathology services. Please see the pathology page for more info.

X-ray is available on site. Fees may apply.

Hearing testing is available. We are not able to provide a silent booth, but our hearing tests can be used to determine if a more formal test is required.

Ear wax removal is available by syringing or microsection. Syringing ears comes with risks to you hearing and the structures inside your ear and it is preferrable to avoid the need for ear wax removal in the first place. Use of wax softening drops (either a commercial product or olive oil is recommended) 1-2x weekly can help to prevent build of wax. In the event of a build-up of wax requiring assessment please use wax softening drops for at least one week before presenting for ear wax removal.

Max Webb, an optometrist visits the island several times a year for eye assessments. We also have arrangements with other allied health specialists who use telehealth to work with our patients.

Dr Greg Cranney (cardiology) visits the island approximately twice a year for cardiology assessments and echocardiography. We are always keen to engage other specialists to offer clinics on the island and are actively working to build new relationships in this area.

South East Sydney Local Health District send a visiting dentist to the island when available. We will keep you up to date when this service is offered through our blog and on facebook.