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Dáil Éireann debate -
Thursday, 25 Jun 1992

Vol. 421 No. 6

Written Answers. - Issue of Medical Certificates.

Jim Mitchell

Question:

138 Mr. J. Mitchell asked the Minister for Social Welfare if, in respect of weekly or other periodic certificates sought from a general practitioner pursuant to a claim for disability benefit, he will outline payments made by his Department to the medical officer in respect of each certificate; whether it is permissible for the medical officer to charge a separate amount for the certificate to the claimant; if so if he will give details of the maximum weekly charge permissible; and if he will make a statement on the matter.

Section 127 of the Social Welfare (Consolidation) Act, 1981 provides that the Minister for Social Welfare may arrange for the issue of medical certificates free of charge to sickness benefit claimants.

In accordance with this provision, arrangements apply under which qualified medical practitioners undertake to provide medical certificates of incapacity on request from insured persons who wish to claim disability benefit, injury benefit or maternity benefit. One of the conditions of the undertaking which the practitioner is required to sign provides that the certifier shall medically examine a claimant for benefit and where he is satisfied that the claimant is so in-capacitated shall issue a certificate accordingly.

The certifier is remunerated by my Department in respect of medical certicates issued by him. Certifiers are prohibited under the terms of their undertakings from demanding or accepting cash or award for the issue of such a medical certificate and may only charge a fee to the claimant where medical advice and treatment is requested separately by the claimant. In the case of claimants who are covered by the General Medical Services Scheme, the cost of examination is normally met by the health board.

The agreement signed by medical certifiers sets out the method of calculation of payment for certificates issued.

In summary, a total allocation is made each year which takes into account the total number of persons insured for Disability Benefit multiplied by a fixed capitation rate. The resultant allocation is then distributed among certifiers by reference to the total of the medical certificates and similar forms issued by them. The payment made to the individual medical certifiers in respect of each certificate issued varies according to whether they reside in a city, town or rural area. Payment at double the normal rate is made in respect of special medical reports.
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