A hefty Tasmanian budget spend on health has been met with caution from nurses and doctors groups who believe it doesn't do enough to solve problems in the system.
Liberal Treasurer Peter Gutwein on Thursday delivered a $6 billion budget, including $475 million for hospital upgrades and a promise to hire 478 medical staff.
But the state branch of the Australian Nursing and Midwifery Federation says it will be a struggle to recruit that many people.
State branch secretary Emily Shepherd said there are close to 200 vacant nursing and midwifery positions across the state.
"There is apprehension that the government will be able to successfully recruit staff to these new positions," she said.
The government also committed an extra $20 million to ease elective surgery waiting times.
It has backed a new private hospital in Launceston but the money won't come from state coffers.
"The budget does not go far enough to address existing resource pressures that are further undermined by increased patient demand for emergency care," Australasian College for Emergency Medicine president Dr Simon Judkins said.
"This places an unfair burden on staff to scramble to find solutions rather than strategically respond to rises in demand."
Mr Gutwein spruiked the 2018/19 budget as the cusp of an economic "golden age" for the Apple Isle.
He expects 9300 jobs to be created over the next four years on the back of a "record" $2.6 billion infrastructure spend.
The Labor opposition has raised concerns that the budget could be left on shaky ground if the state's share of the GST declines after the Productivity Commission delivers its review later this month.