Smith Street Medical Centre
Skin Cancer Clinic

28 Smith Street, Charlestown

New South Wales, 2290

Smith Street Medical Centre & Skin Cancer Clinic

28 Smith Street, Charlestown

New South Wales, 2290

Opening Hours

Mon - Fri8.00am - 6.00pm
Saturday8.00am - 12.30pm
After Hours GP services available
After Hours Phone: 1300 130 147

Book an appointment online


Phone (02) 4943 3066

Chronic Disease Management

Diabetes Annual Cycle of Care

It is important if you have diabetes, that you take good care of your health in order to prevent or manage any changes to your body that cause a deterioration to your health and lifestyle.

The Annual Cycle of Care is a health check that is provided by the practice nurses and doctors each year and helps to optimise your health and lifestyle and control your diabetes.

The check involves recording the following information and about you and putting in place any measures that are recommended to help you manage your diabetes better:

6 Monthly:
·         Measure height, weight and calculate BMI
·         Measure blood pressure
·         Examine feet (preferably done by a Podiatrist)
·         Measure HbA1c, cholesterol, triglycerides, HDL cholesterol, eGFR (blood test)
·         Test for micro albuminuria (urine test)
·         Provide self- care education
·         Review diet / Healthy Eating Plan
·         Review level of physical activity
·         Check smoking status
·         Review medication
2 Yearly:
·         Comprehensive eye examination (by an eye specialist or optometrist) 

Mental Health Assessment and Treatment

Beyond Blue
Black Dog Institute 

What is a psychologist?

Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.

All psychologists are legally required to be registered with the national registration board, the Psychology Board of Australia, in
the same way medical practitioners must be registered. This means that they must be competent and follow a strict Code
of Conduct.

Not all counsellors or therapists are registered psychologists. Seeing someone who is registered ensures you receive high quality ethical treatment.
If I have a mental health problem, how can a psychologist help me?

Psychologists specialise in providing therapies for mental health problems. These therapies are effective at treating common mental health conditions including anxiety and depression and most childhood problems.

Can I go directly to a psychologist to receive treatment through Medicare?
You must be referred by your GP, your psychiatrist or paediatrician. Your GP will need to complete a detailed mental health assessment and prepare a Mental Health Treatment Plan before referring you to a psychologist. You should book a longer session with your GP to enable time for this.

What mental health problems can be treated under the Better Access initiative?
‘Mental disorder’ is a term used to describe a range of clinically diagnosable disorders that significantly impact on a person’s emotions, thoughts, social skills and decision-making. The Better Access initiative covers people with mental disorders arising from:

Alcohol use disorder                                           
Anxiety disorders

Adjustment disorder

Attention deficit disorder

Bereavement disorder

Bipolar disorder

Conduct disorder

Co-occurring anxiety and depression


Drug use disorder                     
Eating disorders
Obsessive compulsive disorder  
Panic disorder
Phobic disorder
Post traumatic stress disorder
Psychotic disorders
Sexual disorders
Sleep problems
Can I access any psychologist?
Under the scheme you can only see a registered psychologist with a Medicare Provider Number who you have been referred to by your GP, psychiatrist or paediatrician.
Medicare rebates are available for psychological treatment by registered psychologists under the Australian Government’s Better Access to Mental Health Care initiative. This scheme provides considerable assistance to people living with mental heath problems, allowing them greater access
to psychologists and providing more affordable mental healthcare.
Can I request a referral to a specific psychologist or does my doctor have to choose?
Your doctor must first assess that you require the services of a psychologist. Your doctor may allow you to request a specific psychologist or may refer you to a psychologist that he/she recommends. The psychologist in question must be registered and have a Medicare Provider Number for you to be able to claim the Medicare rebate.
If I am already seeing a psychologist, can I access Medicare benefits?
In order to receive a Medicare rebate, you must be referred to a psychologist by an appropriate medical practitioner (GP, psychiatrist or paediatrician). The doctor must first make an assessment that you need the services of a psychologist. If you are already seeing a psychologist, discuss this with your doctor.

How many sessions with a psychologist am I entitled to?
The Australian Government has recently announced several changes to the allowable number of treatment sessions a person can receive from a psychologist each year under the Better Access program and claim a Medicare rebate.
Eligible people can receive:
• Up to 10 individual sessions in a calendar year. Your referring doctor will assess your progress after the first six sessions.
• Up to 10 group therapy sessions in a calendar year where such services are available and seen as appropriate by your referring doctor and the psychologist.

What will it cost me?
The cost to you will vary depending on the length of the session and the fee being charged by the psychologist. If the psychologist decides to bulk bill then you will not have to pay anything. However if the psychologist does not bulk bill then you must pay the difference between what the psychologist charges you (a fee set by the psychologist) and the Medicare rebate. This will vary and you should check this with the psychologist before commencing your treatment.

How do I pay?
The settlement of the account is your responsibility (unless the psychologist bulk bills you). You may claim a rebate by lodging a claim through Medicare. When billed you pay the full amount of the consultation and use your detailed receipt to claim a Medicare rebate.
If the psychologist decides to use the bulk billing method, you assign your right to a benefit to the psychologist as full payment for the psychological service. The psychologist cannot make any additional charge for this service if it has been bulk billed, and will receive the relevant Medicare rebate or ‘benefit’ from Medicare Australia for the service provided.
Does the Medicare Safety Net apply to my out-of-pocket expenses under this scheme?
Yes. You are responsible for paying any charges in excess of the Medicare rebate for services under this scheme. However, these out-of-pocket expenses will count towards the Medicare Safety Net. The Medicare Safety Net is designed to protect high users of health services from large out-of-pocket expenses.
For more information on the Medicare Safety Net, go to:

What about my private health insurance?
You cannot use your private health insurance ancillary cover to top up the Medicare rebates for these services. You need to decide if you will use Medicare or your private health insurance ancillary cover to pay for psychological services you receive. You can either access rebates from Medicare by following the claiming process or claim where available on your insurer’s ancillary benefits.

Asthma Action Plans

                  WHAT IS ASTHMA?
Asthma is a condition of the airways. People with asthma have sensitive airways in their lungs which react to triggers that set off their asthma.  this makes it harder for them to breathe.
Three main factors cause the airways to narrow:
Airways diagram - large
  • The inside lining of the airways becomes red and swollen (inflammation)
  • Extra mucus (sticky fluid) may be produced, which can block up airways
  • Muscles around the airways squeeze tight. This is called ‘bronchoconstriction’
One in ten people in Australia has asthma - that's over two million people!
Asthma affects people of all ages. Some people get asthma when they are young; others when they are older.

What should I do if I think I have asthma?
If you suspect you might have asthma, you should see your doctor for a professional diagnosis. The good news is that most people can control their asthma with medicatons and lead a normal life. Once your asthma is well controlled you should experience only occasional symptoms, and asthma attacks (or flare-ups) should be rare.

Note: If asthma is left untreated the long term inflammation of the airway can cause permanent damage to the airway. This can lead to Chronic Obstructive Airways Disease (COPD) so it’s important to see your doctor if you have any concerns.
 Asthma Action Plan
 All asthmatics should have regular check-ups with their General Practitioner make an appointment online and have an Asthma Action Plan done so that they can manage their asthma and help to prevent having asthma attacks.

These plans let you know what to do when you are feeling well, what to do when you are feeling unwell such as when you have a cold, and what to do when you are having an asthma attack.

 It is important to have these check-ups even when you have not had an asthma attack for a long time as you are still at risk of having an attack and need to check that the medication you are taking (or not taking) is still appropriate for you. 
Asthma Australia

Care Plans and Multidisciplinary Care Plans

A chronic medical condition is one that has been (or is likely to be) present for six months or 
longer, for example, asthma, cancer, heart disease, diabetes, arthritis and stroke. There is no 
list of eligible conditions. However, these items are designed for patients who require a 
structured approach and to enable GPs to plan and coordinate the care of patients with 
complex conditions requiring ongoing care from a multidisciplinary care team. Your GP will 
determine whether a plan is appropriate for you.
Department of Health

Chronic Kidney Disease


Kidney disease occurs when the nephrons inside your kidneys, which act as blood filters are damaged. This leads to the build up of waste and fluids inside the body.
Why are your kidneys so important?
Kidneys are the silent partner to good health! We can live quite well with only one kidney and indeed, some people live a healthy life even though born with one missing.
Our kidneys are amazing, they play a major role in maintaining your general health and wellbeing but are not usually thought of as essential to a healthy life. But while bones can break, muscles can waste away and the brain can sleep without risk to life, if both kidneys fail, as happens in end stage kidney failure, bone, muscle or brain can not carry on.
What can go wrong with your kidneys?
Kidney disease is called a silent disease as there are often no warning signs. More often kidney function worsens over a number of years. 
This is good news because if kidney disease is found early, medication, dietary and lifestyle changes can increase the life of your kidneys and keep you feeling your best for as long as possible. 
Kidney Health Australia