The idea is to better understand local health needs and lived experiences with consistent themes revealed across the region.
Residents in Corowa expressed frustration with the lack of continuity in GP services, describing it as a “revolving door”.
Mental health care was seen as unaffordable, with significant out-of-pocket costs for travel and specialist appointments.
The absence of social spaces for LGBTQIA+ people was noted, contributing to feelings of isolation.
Howlong residents raised concerns about the decline of small towns and the lack of political attention.
They said farmers needed more support and identified domestic violence, problematic substance use and gambling as growing issues.
Cost-of-living pressures were acute, with some residents skipping showers or meals to save money.
Data for Conversations on the Couch was collected in person, capturing the unique experiences, perceptions, and understandings of community members.
These personal accounts provided varied perspectives rather than a single, universal truth.
Many participants right across the region described long wait times to see a GP, limited access to mental health and allied health services, and the high cost of care.
Residents of some towns reporting good access to local health providers, but others relied on visiting services that were irregular and often booked out.
They also spoke of the challenges of travelling for specialist appointments, especially in towns with little or no public transport.
Mental health was a key concern, with a lack of services for youth, men and older adults.
Some shared that telehealth felt impersonal, while others valued the convenience.
The cost of assessments and therapy was a barrier for many, particularly for conditions like autism and ADHD.
Older residents raised concerns about aged care availability, long wait times for home care packages, and the impact of living alone.
Social isolation, especially among older adults and marginalised groups, was a recurring theme.
Cost-of-living pressures were also evident, with stories of families skipping meals, relying on charity services, and struggling to afford heating and rent.
Despite these challenges, many communities showed resilience and connection.
Local spaces such as libraries, Men’s Sheds and cafes were praised for providing social support.
MPHN’s acting chief data officer Dr Ryan Du Toit said Conversations on the Couch provided valuable insights into the lived experiences of rural and regional communities.
“People were generous with their stories and open about what they felt was working and what needs improvement,” Dr Du Toit said.
“We heard about the importance of local GPs, the challenges of accessing mental health care, and how cost-of-living pressures are affecting people’s ability to stay well.
“Many spoke about the need for better transport options, more affordable services, and greater support for vulnerable groups.
These conversations help us understand what matters most and where we need to focus our efforts.”
MPHN is using this community feedback to guide future improvements and has incorporated findings into the Health Needs Assessment refresh.
To continue shaping healthcare across the region, Murrumbidgee residents are encouraged to share their thoughts in MPHN’s quick, anonymous Health Needs Assessment survey at mphn.org.au/hna or by contacting MPHN on (02) 6923 3100.
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