Dr Allan addressed Cabonne Council on Monday in regards to a study she has conducted over several months to identify gaps and develop models for health services in Canowindra and Molong.

She said changing demographics meant current models were often outdated and "based on decisions made a long time ago".

"One of the things that is a significant difference between the two towns is the growing number of poor people moving into the area, and that is much more noticeable in Canowindra than Molong. Canowindra has experienced significant growth in people who are long-term unemployed and have incomes under $200 a week," she said.

Dr Allan said health workers interviewed during the study felt current programs were not addressing this group.

Cabonne Council will use some of the information from the study in the development of Molong's $3 million integrated health centre.

Dr Allan said it was crucial that centres such as the one planned for Molong addressed a community's changing needs and did not rely on "much the same sort of shotgun approach", with rooms filled by whoever would fill them.

" It's very difficult to work out exactly what health services you need. The health system will not say publicly, on the whole, that they've stuffed up or they don't have enough money, even if everybody knows it," she said.

Dr Allan found that people in need of services including heart and cancer specialists or early intervention for children usually had to travel to other places.

Women in Canowindra also have to travel to Orange or Cowra for the birth of their children.

Cabonne Mayor John Farr invited Dr Allan to further discuss the findings with council in the future.

"There have been some scary statements made here today. Local Government in NSW is sick and tired of picking up the shortfall of health services in the bush," he said.