I thank the Deputy for raising this issue. While most GPs provide phlebotomy services for their medical card and GP visit card patients without charge, I am aware that there have been instances where some GPs have charged such patients for these services. It is not acceptable for patients in these categories to be subject to a charge for procedures associated with routine diagnosis and treatment.
The HSE, as the body which contracts GPs for the provision of services for GMS and GP visit card patients, has written on a number of occasions to contract holders, most recently in March 2014, clarifying the position on phlebotomy services. All written complaints about GPs charging for such services have been investigated by the HSE. In any case where a patient has been charged by his or her GP for phlebotomy services, the HSE will, where appropriate, arrange for a refund of the amount concerned.
The Department of Health and the HSE are cognisant of the need for a new agreed contract with GPs that will help modernise the health service and develop a strengthened primary care sector. Negotiations are under way with the Irish Medical Organisation. The appropriate arrangements for phlebotomy services and to deal with differences of interpretation will be considered in this context. The process also provides an opportunity to ensure maximum clarity on the scope and nature of the service to be provided, including the taking of blood for diagnostic purposes or in connection with the treatment or monitoring of an ongoing condition. Notwithstanding these engagements, the contractual position is as outlined by the Deputy and the HSE has and will continue to take action where medical card or GP visit card patients are charged inappropriately.
