Limerick East): In 1992, the General Medical Services (Payments) Board decided to establish a working group to review in depth how the needs of people receiving non-drug items, including ostomy products under the General Medical Services scheme (GMS), were being met and if these needs could be met more efficiently.
The purpose of the review of ostomy-urinary products on the GMS Scheme was to ensure that the needs of users of ostomy-urinary appliances would be met in the most effective manner and that the most modern "user-friendly" products should be available to GMS patients. To this end, each product on the scheme was evaluated by a group, which included specific expertise in stoma care, on the basis of quality, suitability and security. All appliances were evaluated on this basis alone with no distinction being made between appliances manufactured in Ireland or abroad. Following this evaluation, it was decided that a number of out-dated products should be replaced because they had been superseded by the more advanced products referred to above.
Each September, all manufactures are given the opportunity to apply to the board to have their products considered for reimbursement. Following each review, a draft update list is sent to each manufacturer giving them the opportunity to make representations to the board if their application had not been successful. Further consideration is then given to each representation received and a final update is sent to each manufacturer effective from 1st January each year.