š” Locals know best
Including: Emergency Department visits at Mid North Coast hospitals hit record high and grass-root solutions to disaster response from an SES volunteer.
ā±ļø The 107th edition of our newsletter is a six-minute read.
ā Hey, it's Ellie ā your Mid North Coaster reporter.

In todays newsletter we have two top stories:
1ļøā£ Emergency Department visits at Mid North Coast hospitals hit record high
Weāll take a look at the increased number of people who walked through Mid North Coastās Emergency Department doors between October and December last year ā a new record in quarterly reporting.
2ļøā£ After 12 years and 20 disasters, one Mid North Coast volunteer says the response system is broken
West Kempsey local and SES volunteer, James Raye, says changes need to be made to better face increasing extreme weather events. Hands on help and local solutions are his suggestions.
Plus our National reporter, Archie, recently sat down with Konrad Benjamin (Punters Politics), whose face you mightāve seen on your phone, YouTube, or screen talking about the major issues impacting everyday Australians.
Iāll drop the video below ā itās worth a watch.
Letās dive straight inā¦

š„ Emergency Department visits at Mid North Coast hospitals hit record high
More than 40,000 people walked through the Mid North Coastās Emergency Department doors between October and December last year ā a record high for the region.
The figure, three percent more than the final quarter of the previous year and the highest since 2010, showcases the ongoing increased demand for health services across the stateās north coast.
What happened: 40,126 residents presented at local emergency departments (ED) across the Mid North Coast in the final quarter of 2025.
Compared to the same period in 2024, all hospitals within the local health district experienced an increase.
Coffs Harbour Health Campus saw 13,014 attendances, an increase of 3.7 percent (or 466 attendances).
Kempsey District Hospital had 6,985 ED presentations, an increase of one percent.
Macksville District Hospital there were 3,935 ED, an increase of 6.4 percent.
Port Macquarie Base Hospital had 13,981 ED attendances, a slight increase of 0.6 per cent (or 78 attendances).
Numbers game: The figures come from the Bureau of Health Informationās (BHI) quarterly report and cover a range of health precincts in the Mid North Coast:
Coffs Harbour Health Campus
Kempsey District Hospital
Macksville District Hospital
Port Macquarie Base Hospital
and Wauchope District Memorial Hospital
A growing trend: In a statement, Mid North Coast Local Health District Chief Executive Jill Wong said emergency departments have been under āconsiderable pressureā.
āThe report shows that demand for emergency and ambulance care continues to climb across our district, in line with statewide trends,ā Wong said.
According to the report, there were a total of 393,877 ambulance responses across NSW in the final quarter of 2025, a 0.6 percent increase compared with the same quarter from the previous year.
Trending pressure: The Mid North Coastās healthcare system is no stranger to pressure.
In 2025, the Mid North Coaster investigated the state of bulk billing in the region and found options could often be a 30-minute drive away for residents ā or longer.
In some towns, doctorās books are often closed to new patients and GP retention is a challenge.
Local hospitals are in need of increased funding with volunteer groups having to step in to fund new equipment.
Local voice: NSW Nationals leader and Member for Coffs Harbour, Gurmesh Singh, called regional healthcare a āchallenging portfolioā with āfunding problemsā.
āIt can be an issue of attracting the right specialists [and] the right doctors,ā Singh told the Mid North Coaster. āWhen people aren't able to get into a GP early enough often, it means their health care can be neglected and they end up in the emergency departments, which puts a lot of additional pressure on our emergency departments here in regional areas.ā
More than just check-ups: Adding to pressure on ED is an aging population across the Mid North Coast.
āWe've got elderly patients who should be discharged into a nursing home or into aged care, they're unable to do so because those facilities just don't exist, or those beds just don't exist in the number that we need so we have more people taking up hospital beds who really shouldn't be in the hospital anymore,ā said Singh.
Quick process on big numbers: According to the quarterly report, more than 70 percent of ED patients were discharged within four hours and almost 90 percent were transferred from ambulance to ED staff within the 30-minute benchmark.
Easing demand on ED: MNCLHD is urging the community to ākeep emergency departments and ambulances for saving livesā.

š¹ VIDEO OF THE DAY
Over at The National Account, our reporter Archie Milligan recently sat down with Konrad Benjamin, better known as Punters Politics ā his Instagram following has surpassed half a million people.
The two talks about Konradās rise into the Australian political sphere, what he considers himself to be, the future of independent media and something he has never been asked about before: his faith.
Watch the video:
@thenationalaccount With over half a million followers on Instagram, Konrad Benjamin (@punterspolitics) has developed quite a name for himself as Punters Poli... See more
š You can also watch on YouTube here.

š£ļø After 12 years and 20 disasters, one Mid North Coast volunteer says the response system is broken
West Kempsey local James Raye has been a State Emergency Services (SES) volunteer for 12 years. In that time, heās responded to upwards of 20 disasters across the Mid North Coast, from bushfires to floods and storms.
Now, Raye is calling for urgent changes to better deal with more frequent, more extreme weather events. He says it all comes down to local solutions and hands-on-help.
The issue: With years of on-the-ground experience immediately after a disaster, Raye says red-tape is slowing what needs to be a rapid response.
āThere's so much red tape between the government, the council, the emergency services, and then you've got the military,ā Raye told the Mid North Coaster. āThe work that is needed to be done gets a backseat while they sort of gripe and grumble amongst themselves and work out who's going to do what.ā
The longtime SES member says as volunteers they are trained to respond in an emergency, but action is delayed or blocked because of confusion on who is managing what.
āHomeowners have just been through a really horrible situation, and then they're faced with a fragmented, confused response.ā
āThere's going to be more of these events happening more consistently and more diverse and widespread,ā Raye said. āThere needs to be an essential management organisation that has the full authority and control over all services and it falls on them.ā
More storms, less time: Just last year, the region was hit with major floods and destructive storms leading to four ānatural disaster declarationsā from the NSW Government.
There was flooding on the Mid North Coast in 2024, 2023, 2022, 2021, 2020, not to mention bushfires, including the Black Summer of 2019/20. The Australian Governmentās first National Climate Risk Assessment warns that concurrent events and reduced time between severe events will become more common.
Given this, the regionās emergency services and the state government is facing a future that requires more ā and quickly.
Hands on help: Along with a clearer line of communication, Raye wants to see the community able to better help after a disaster.
In his eyes the solution lies in the rebuilding of peopleās ātatteredā homes.
āBecause we all know when we see something start to come alive and rebuild and new stuff, we start to feel better,ā Raye said. āThe mental health side of things will go down to a dull roar purely because their living arrangements are getting better. If they're consistently looking at mould and rotting stuff, it just brings [them] down.ā
Once immediate support of food, clothing and shelter are seen to those displaced out of their homes, and after safety measures are practiced, he says the priority should be rebuilding homes and fast.
Raye would like to see groups of people allocated to streets where homes need rebuilding, to restore the homes to a "comfortable state of living.ā
āI feel this is the best recovery there is, because even though we're resilient, we're very autonomous Aussies. We're not forward in sticking our hand up for help. And that's not going to change any time in the future.ā
Place-based planning: Doctor Timothy Heffernan, lecturer at the Australian National University and author of a 2025 report on improving community resilience to future disasters, says community-led responses should be part of mitigating disaster impact.
As it stands, issues can arise in the wake of a disaster when communities are left to pick up the pieces.
Heffernan said the government often steps in for the first 100 days after a disaster but does not necessarily address what the community would want. This leaves councils and locals stuck with āhalf-commencedā response projects.
He says communities shouldnāt be brought in after the fact, and instead be part of the planning process to better prepare for extreme weather impacts.
āThere should be some sort of community representation on different kinds of committees and boards,ā said Heffernan. āA more grassroots approach.ā
Local knows best: Often it's the people living in these regions who best know the land, the way it changes, and the response needed for recovery. Heffernan pointed out it's this closeness that means community consultation would result in solutions with long term, trusted benefits.
Some communities have benefitted from documents shared widely that list labour skills of individuals, phone numbers of people in the area, resources of who has generators or batters, who can use pumps, who knows CPR and where the two-way radios might be.
āCommunities know best.. They know what will work, they know what will cut through and will have a long term benefit,ā Heffernan said,
Heffernan says the priority should be listening to local knowledge and resourcing communities in a pro-active sense to better prepare for extreme weather events.
āItās about getting the community together to write their own preparedness plans and doing their own scenario planning, because it's one thing for government or emergency services as he says services to give a community a plan, It's another thing for that community to have devised that plan themselves.ā

Thanks for reading, I hope you enjoyed this edition. Iāll be back next week.
In the meantime, make sure youāre following along on Instagram, TikTok, YouTube, Facebook and our website to keep up to date with local news throughout the week.
I hope you have a nice weekend. Iām going to my Nephewās 3rd bāday party!
Chat soon,
š Ellie