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Chapter 1: Trends in general practice care

Emerging issues in general practice

GPs identified health system fragmentation and communication issues as the leading concern for the future. This was highlighted by almost half of practising GPs (43%), a jump from 31% last year. This was closely followed by their workloads and patient financial issues. Concerns about patient financial issues were highlighted by around one-third of GPs (32%), an increase from 24% in 2024.

Figure 12. Health system issues of concern nominated by GPs

Health system issues of concern nominated by GPs

Measure: Proportion of practising GP responses to the question, ‘What are the emerging health system issues causing you the most concern for the future?’
Sample: Practising GPs 2024 n=3006; 2025 n=2416.
Source: The Navigators, RACGP Health of the Nation survey April/May 2025

More than two-thirds of GPs (68%) have highlighted the increasing complexity of patient presentations as the greatest challenge facing the profession. This is in the context of growing rates of chronic disease, high rates of mental health presentations and the ageing population across Australia.

An estimated 15.4 million (61%) Australians were living with a long-term or chronic health condition in 2022.7 More recently in 2023–24, the Australian Bureau of Statistics (ABS) found people with a long-term health condition were more likely than those without to:

  • see a GP (93.9% compared to 70.4%) 
  • see a GP for urgent medical care (12.6% compared to 4.6%) 
  • see an after-hours GP (6.8% compared to 3.6%)
  • see another medical specialist (55.8% compared to 21.4%)
  • visit a hospital emergency department (21.4% compared to 8.7%)
  • be admitted to hospital (18.5% compared to 6.3%).2
People with a long-term health condition were more likely than those without to see three or more health professionals (28.5% compared to 6.7%) and report issues caused by a lack of communication between health professionals (17.1% compared to 12.4%).2 Despite this, Australia performs well in international comparisons regarding experiences of coordination of care – with over two-thirds (74%) of patients reporting positive experiences versus 59% across OECD countries.3
GP INSIGHTS

What are the emerging patient health issues causing you the most concern for the future?

‘One of the most concerning emerging issues is the increasing volume and complexity of patient presentations in general practice without a corresponding increase in consultation time, support, or remuneration. Mental health, chronic disease, and aged care needs are rising sharply, often requiring extended management and follow-up, yet the system still operates on outdated funding models that undervalue the time, skill, and responsibility borne by GPs. This mismatch contributes directly to burnout and dissatisfaction across the profession, particularly among early-career GPs, and poses a long-term risk to workforce sustainability and quality patient care.’
‘I am increasingly concerned about the growing burden of mental health issues across the patient population. Mental health presentations are becoming more frequent and more complex, affecting people of all ages and backgrounds. The rising demand, coupled with limited access to timely support services, continues to place significant pressure on both patients and GPs. The prevalence of chronic diseases including diabetes, obesity, and cardiovascular conditions also remains a major concern. These conditions are often presenting earlier, with greater complexity and multimorbidity, requiring sustained and coordinated management. In addition, we are seeing and detecting an increase in cancer cases, particularly breast, cervical, and colorectal cancers. Early detection remains critical, but these conditions often present at later stages due to barriers in access or low engagement with routine care. As GPs, we are often the first point of contact for patients facing these complex health challenges. To deliver the level of care required, there needs to be adequate funding for general practice, along with increased Medicare rebates for longer consultations. This would enable more comprehensive assessments and continuity of care, ultimately improving patient outcomes.’