This paper examined the performance and need of health services in the mining communities through a case study of the Moura Township in Queensland, Australia. The study involved a case study approach with a survey method to assess the current performance and the need of health services of the Moura residents. This study found only half of the respondents was reasonably satisfied with general physician (GP) and hospital services. They stated a clear demand to involve all development partners to improve these services, in particular to modernise hospital services with basic dental and pre natal services. A regional strategic management model can address this issue, and such a strategic model can be incorporated into the local area development plan or in the regional plan.