Dr Annie Marshall
Dr Marshall graduated from the University of Sydney with Honours in 2004, and after her basic hospital training did a 6 month residency in Obstetrics and Gynaecology, during which time she attained her Diploma with the Royal Australia and New Zealand College of Obstetrics and Gynaecology. Dr Marshall then moved to rural Western Australia where she undertook her General Practice training at a very busy rural practice, which included on-call obstetrics and hospital cover. During this time she completed a Diploma of Child Health through Princess Margret Hospital. She returned home to Sydney in 2010 and has continued working in General Practice while juggling life with three small children.
Dr Marshall is affiliated with the Royal Hospital for Women and RPA for the provision of antenatal shared care. While she has a keen interest in Women's Health and Paediatrics, she enjoys the diversity that general practice provides. Dr Marshall is experienced in inserting contraceptive devices including Mirena and Implanon.
Over the past few months, over 200 feedback surveys from a (random) selection of RTH patients were completed. We thank you for taking the time to share your thoughts with us. As a practice, we always welcome feedback and are committed to constantly improving the service we offer you! We were thrilled to to find that for the most part the feedback was overwhelmingly positive.
There were a few areas that came up which we would like to address here.
While all efforts are taken to stay on time, sometimes Doctor’s run late for reasons beyond our control. You have told us you understand this but you would like to be notified when delays are to be expected.
We TOTALLY get this!
What we will do:
Reception staff will endeavour to phone patients when it becomes apparent that a doctor is running late.
Our GPs will try and notify reception if an appointment is looking like it will go significantly overtime. This will allow reception to communicate with patients in the waiting room to better manage expectations.
What you can do to help:
Please consider your needs when booking an appointment. If you have multiple or complex issues, would like a care plan, or think you may like more time, please book a long appointment. We only ever charge for the length of your actual consultation, so don't hesitate to allow more time just in case. This will ensure your appointment doesn’t run over for the next person and we can better manage the schedule.
Wow, we really do hear you on this one!
The practitioners at RTH have been working extremely hard to meet the increasing needs of our community in the past few years. As well as causing a surge in sick patients - Covid brought many workforce challenges to the health industry. We have been heavily booked for months now as we have a growing number of patients who are inviting us on their health journey. We feel this is an honour and are committed to doing our best for all our patients. We are currently on the hunt for a new GP to join our team. This process takes time as we only work with GPs that are of the highest standard and are aligned with our values. We will keep you posted when we find our next amazing GP.
To ensure that we can still see you in your time of need we always keep a few slots up our sleeve for those “on the day” appointments that can not be planned for. If you have an unexpected and urgent need to be seen - please call the reception team and we will do our best to accommodate you on the day.
Some patients have suggested that a copy of their pathology results be sent to them directly. Did you know you can access pathology on your My Health record? Alternatively - please discuss with your doctor at the time the test is ordered.
Improvements to the outside waiting area
We did not anticipate the the outside waiting area would be a long term concept but safe to say it is here to stay! We invested in a heavy duty marquee to protect you from the elements, and recently replaced the deck and painted the building to improve your safety and enjoyment. We are looking for some improved seating options that can withstand the weather. We also installed some furniture and plants out the back for your conveninece.
We would like to sincerely thank all our loyal patients who have continued to adapt along with us to the changing way we deliver healthcare due to the pandemic. We have recieved so many lovely messages of thanks and encouragement which have kept us all going.
Our last fee review was 2016 and while we have tried very hard to minimise out of pocket costs to patients, significantly increased running costs during the pandemic can no longer be absorbed. Thank you for your understanding.
If you are frustrated by your medicare rebate amount we strongly encourage you to take this up with your local federal member.
Our full list of fees are on our website and also at our front reception desk. Thank you for your ongoing support.
COVID Vaccination Update- July 2021- Pfizer
Rozelle Total Health has been selected by the government to provide our patients and community with the Pfizer/BioNTech COVID-19 vaccination. We will commence Pfizer vaccinations on 8 July 2021 in line with government regulations.
The following people are now eligible for the Pfizer COVID-19 vaccine:
- All adults aged 40-59
- All Aboriginal and Torres Strait Islander people aged 16 to 59
- NDIS participants, and carers of NDIS participants, aged 16-39
- Temporary visa holders aged under 50 years who are currently in Australia and have been approved for return travel to Australia through the travel exemption process
- Quarantine and border workers under 60
- Health care workers under 60
- Aged care and disability care residents and staff under 60
- People aged 16-59 with an underlying medical condition or significant disability
- Critical and high risk workers aged 16-59 and over including defence, police, fire, emergency services and meat processing.
- Individuals under 60 with an Australian Border Force outwards travel exemption in an eligible category
Only the eligible patients will be offered the Pfizer vaccination. If you are over the age of 60 years you are advised to have the AstraZeneca vaccine as per ATAGI guidelines. Your last chance to get your AZ vaccine at RTH is Sat 10 July, please book now to avoid disappointment. You will be directed to a vaccine hub after this date.
All patients who have had a first dose of AZ should continue with the second dose of AZ as per ATAGI advice
Please confirm your eligibility here before booking an appointment
- Our appointment availability is limited by vaccine availability
- There is no waiting list. All appointments will be made available online as stock is delivered each fortnight. Bookings can be made here.
- These appointments will run to a strict time schedule. Please bring your valid Medicare card and/or other form of ID to your appointment and wear appropriate loose fitting clothing to allow us to access your left shoulder in a group setting. You will be vaccinated in groups of 5 people and be required to wait 15 minutes post vaccination to watch for any adverse reactions.
- You must book your second dose when you book your first. The interval for Pfizer is 3 weeks apart. You will automatically be directed to a date 3 weeks from your first dose appointment- please do not deviate from this.
- Your appointment is for the vaccination only. If you have any questions, concerns or are unsure if the vaccination is right for you, please call us on 02 9087 4600 or book an appointment via HotDoc with your regular GP on a day any time prior to your vaccination appointment. Please follow this link for up to date information about the vaccine.
- You will be required to complete a consent form. This will be sent to you via email from HotDoc once your appointments have been booked. You must complete this as soon as possible. You will not be vaccinated if this is incomplete.
At this time we request you do not call reception in relation to booking appointments. All appointments will be made available online. You may need to check back at a later date as more appointments become available. Keep an eye on our website and like us on Facebook for updated information.
We thank you for your patience whilst we manage and oversee this extensive and unprecedented immunisation roll out.
Rozelle Total Health
What causes abdominal bloating?
Contrary to what many people believe, bloating is not necessarily due to too much gas in the stomach. Researchers have performed studies on patients who feel bloated using CT scans, and shown that they often do not have any more gas in the belly than people who have no symptoms. Excessive gas production probably plays a part, but does not explain the whole picture.
We are pleased to advise that Rozelle Total Health has been approved to deliver COVID vaccinations to our community. The rollout will be staged as per the Dept of Health and we will be starting with the phase 1b.
Please note - We have not yet received any vaccination stock!
We are busy planning how best to deliver the vaccine to you safely and quickly so please do not phone us at this stage regarding vaccination. We will notify you as soon as we are ready to take bookings.
If you wish to discuss your personal circumstances, or need help deciding what is right for you, we recommend booking an appointment with your GP.
RTH is keeping a close eye on the upcoming release of a COVID vaccine. The indications are that approval of a vaccine is fast approaching and will start to become available in the first half of 2021.
The release of the vaccine will be completed in stages. The most vulnerable people will be vaccinated first. There will be guidelines which we will have to comply with. We continue to wait for further information from NSW Health.To receive updated information make sure you like us on Facebook. Please also share this message with anyone you know who might benefit from the information.Thank you for continuing to help stop the spread
Dr Santosh Sanagapalli is a consultant Gastroenterologist specialising in diagnostic and therapeutic endoscopy. He enjoys providing holistic, empathetic and comprehensive care to patients with a wide variety of problems affecting the gastrointestinal tract. He has a particular focus on high quality endoscopy, reflux and disorders affecting swallowing, as well as the role of dietary therapies in managing digestive health. Santosh is also a local and prioritises good communication with his patients.
After graduating from UNSW, Dr Sanagapalli completed his training in internal medicine and gastroenterology at St Vincent’s and Concord Hospitals in Sydney. He undertook further sub-specialised training in swallowing disorders at University College London Hospital, one of London’s largest and most prestigious referral hospitals. Upon his return to Sydney he was appointed staff specialist at St Vincent’s Hospital where he leads the oesophageal disorders service.
He performs endoscopic procedures (gastroscopy and colonoscopy) across the St Vincent’s Healthcare campus in Darlinghurst (both private and public) and at the Alexandria Specialist Day Hospital.
Government changes to MBS funding for telehealth came into effect on 1 October 2020.
Rozelle Total Health continues to offer care to our patients both face to face and via telehealth. We are pleased to offer this choice so patients may elect to access care in the mode that best suits their circumstances. There are some clinical settings where a face to face appointment may be required to complete the assessment. There may also be circumstances where we request you do not attend a face to face appointment (eg you or your GP may be infectious) and you will be offered a telehealth consult.
We are pleased to advise that medicare rebates remain available for telehealth consultations provided the patient has been seen in person at the practice at least once in the preceding 12 months. Private fees are applicable to all consultation and we are not able to offer routine bulk billing. The government requirement to bulk bill certain patients due to COVID has been removed and the payments to GPs for doing so have ceased.
We are a privately billing practice and the fees remain the same for both face to face and telehealth consultations. Payment is required on the day of service. Where you start with a telehealth consult but are required to attend for a face to face review on the same day - you will only be charged once.
If you have any questions or concerns please get in touch with our service team.
Rozelle Total Health