What’s changing and who it affects
From 1 January, a sweeping change takes effect for consultants who hold public-only contracts. The vast majority will no longer be permitted to treat private patients within public hospital settings. While the rule spans several specialties, its impact on maternity care—where private patients in public hospitals have historically sought streamlined access and enhanced privacy—could be the most noticeable for expectant families and hospital administration alike.
Why the rule was introduced
Proponents argue the change promotes equity, reduces conflict of interest, and ensures that publicly funded services prioritise care for all patients. Critics worry it may extend waiting times and shift private patient demand to independent facilities, potentially widening gaps in access for those who rely on public healthcare systems. Health ministries and hospital boards say the policy aims to simplify governance, improve transparency, and reinforce the primary public service role of hospital units.
What this means for maternity services
Maternity units in public hospitals will adjust to the absence of private consultations and procedures that previously occurred alongside public care. This could affect scheduling flexibility, elective private maternity care, and the availability of some parallel services that were once offered to private patients within the same wards. Hospitals are expected to redeploy resources to support public obstetric care, antenatal and postnatal services, and essential high-risk maternity needs.
Impact on wait times and access
For expectant families relying on public maternity services, the policy could influence scheduling efficiency and consultation availability. Some patients may experience longer waits for certain non-emergency assessments if private patient streams previously absorbed some demand. However, proponents anticipate that a more streamlined public system could improve overall care continuity, reduce duplication of services, and prioritise medically urgent needs.
Financial considerations for families
Patients who previously used private maternity options within public hospitals may need to explore alternatives. Options include fully private clinics outside the hospital system or public services accessed through standard pathways. Out-of-pocket costs for private maternity care will vary, and families should seek clear estimates before proceeding. Public hospitals may also offer enhanced public-private partnerships that preserve some privacy and efficiency without undermining the public mandate.
What patients should do now
- Contact your obstetrician or midwife early to understand how the rule affects your plan of care.
- Ask about timelines, wait times, and alternative pathways to receive timely antenatal and delivery services.
- Request written estimates if you are considering any private-outside option, and compare costs with the public pathway.
- Ensure your birth preferences are documented in your care plan, so your team knows your priorities within the public system.
What hospitals are doing to adapt
Hospitals are reassessing staffing models, appointment scheduling, and the allocation of maternity beds to ensure that public care remains robust and accessible. Some facilities are expanding private patient units on campus but operating under separate governance to keep public and private streams distinct. Importantly, the goal is to preserve safety, continuity of care, and patient choice within the public framework where possible.
What this means for the broader healthcare landscape
The policy signals a shift toward clearer boundaries between public and private care. It also places emphasis on strengthening standard public maternity services—antenatal education, labour and delivery care, and postnatal follow-up—so families have reliable access regardless of private options. As hospitals adjust, it will be essential for policymakers, clinicians, and patient advocates to monitor outcomes, patient experiences, and equity in access across demographics.
