Castlemaine District Community Health may reduce staff numbers or health services as it works to stave off potential closure due to insufficient funding.
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CDCH chief executive Dianne Couch said operating costs of running the organisation's services have not been able to keep pace with being able to fund staff.
"The board wants to be transparent. We might have to cut services, so we can have some (other) services in place the future. It will have a big impact," Ms Couch said.
"Up until now the board has tried to resist cutting staff, because when you cut staff in small rural areas, there are (often) no alternative services, which means less access locally.
"A lot of people I know in smaller regional areas find it hard to get to and from Bendigo, particularly vulnerable members who experience homelessness, alcohol and drug, or mental health issues."
Ms Couch said about two-and-a-half full-time staff position would need to go from the approximately 30 part-time staff position in the organisations. CDCH also has about 70 volunteers.
"We would have to look at where we need to cut, which means reducing services such as homelessness, alcohol and drug support, diabetes education, physiotherapy and counselling services," she said.
"We would probably try to negotiate across the board rather than focus on one particular service."
The organisation has appealed to the state government for assistance in the form of extra funding that would allow them to maintain their current staff levels and services.
In May, CDCH received an $80,000 grant from the state government to go toward strategic planning on how to continue to provide services to the community.
"We're asking $350,000 per year to maintain the current level of services," Ms Couch said. "That allows us to stabilise and continue to work. The department has given us $80,000 to work on integrating services.
"Local members, both state and federal, have been trying to be as helpful as possible."
Minister for Health Jenny Mikakos said as CDCH is independently registered, its sustainability was a matter for its board and management.
"While we always stand with Victoria's health services to make sure they can deliver the very best care, it's important that they manage their budgets responsibly so that they can remain sustainable - both now and into the future," she said.
"We are focused on ensuring all Victorians receive the health care they need, which is why we have provided (CDCH) with support to ensure a sustainable service to local residents and families."
Mount Alexander Shire mayor Bronwen Machin said many of CDCH's services were vital to the community.
"Castlemaine District Community Health provides many allied health programs and services to improve the health outcomes for residents in our shire," she said.
"Many of these services are vital for some of the most vulnerable and disadvantaged community members in our shire. Any loss in service would be detrimental to our community.
"We will continue to support Castlemaine District Community Health to advocate to the state and federal governments for further funding."
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