General practitioners are granted entry to the GMS scheme on the basis of the following: open competition for vacancies that arise; open competition for posts of assistant with a view to partnership; doctors who have established themselves in wholetime general practice prior to 1 January 1989 are granted right of entry on completion of five years' continuous practice in the one location.
The main method of entry to the GMS scheme is by way of open competition. The principle of open competition applies in the interest of ensuring the highest level of service to medical card holders.
These arrangements have been the subject of negotiations and agreement between successive Ministers for Health and the Irish Medical Organisation since the inception of the scheme and are currently under review.