A Launceston GP clinic that plans to charge unvaccinated patients $10 a visit said the decision was prompted by the state government's failure to provide clear health guidelines.
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Summerdale Medical Practice partner Dr Don Rose said without clear guidelines the practice needed to determine its own protocols to ensure it could continue to serve the community once borders reopened.
"We have to be able to provide service to our regular patients and at the moment the state's been a bit vague about what would happen if a person with COVID came into the building, and what precautions we need to take to remain open," he said.
To ensure the practice stays open, a $10 fee will be applied to all non-vaccinated patients who enter the premises to cover the additional cost of making the facility COVID safe.
Dr Rose said the fee would cover the cost of surgical masks to be worn by patients, as well as masks and goggles for the staff and the cost of cleaning parts of the premises.
He said in addition to the physical protocols, the surgery planned to treat vaccinated and non-vaccinated patients in separate parts of the clinic, with non-vaccinated patients being seen at the end of the day, to reduce the chance of transmission.
Dr Rose said the protocols the practice was putting in place were less extreme than some other GPs.
"Some surgeries are going to insist people have a COVID test before they come to the surgery, some are going to use rapid antigen testing and some surgeries are considering not even seeing people who aren't vaccinated," he said.
Australian Medical Association Tasmania spokeswoman Dr Annette Barratt said as private businesses, GPs had the right to set fees and policies that suited their business, as long as it did not disadvantage patients unreasonably.
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She said individual practices were well placed to understand what protocols would work for them, but said the government should have announced CDNA guidelines sooner.
"Those guidelines should have been out last week,'' she said.
"It has been a little disorganised, we certainly would have liked this to have happened earlier.
"They had examples of what's been happening in other states, so it's not as though they have to invent the wheel from scratch. They could have used the information in other states as a guideline."
Royal Australian College of General Practitioners Tasmania chairman Tim Jackson said he had been advised the government would be providing an announcement on the guidelines next week.
"Like everything with this pandemic we would have liked everything done yesterday, but it does take a while for the government to branch through the scenarios and come to a decisions," he said.
He said without the guidelines surgeries were factoring in the risk to their patient and starting to prepare, and without federal or state funding, it was up to the individuals to determine if the cost would be borne by the patients or practice.
A Public Health spokesperson confirmed the guidelines would be made available at the end of next week.