Under the General Medical Services (GMS) contract, GPs are reimbursed for a range of services they provide to medical card and GP visit card holders. GPs are remunerated for these services primarily on a capitation basis, with a range of additional support payments and fees for specific items of service. The amount payable in respect of certain of these supports is related to the doctor's panel size. GPs can also provide services to private patients if they wish. The arrangements and fees charged for such consultations are a matter of private contract between the patient and the GP and I have no role in relation to such private income for GPs.
As a consequence of the severe difficulties arising from the economic and fiscal crisis of recent years, between 2009 and 2013 a number of reductions were applied under the Financial Emergency Measures in the Public Interest Act 2009 (FEMPI) to the fees and allowances paid to healthcare professionals, including GPs who provide services under the GMS scheme.
There have been significant developments in general practice service in recent years, with more services being made available to our citizens and additional financial support provided by the HSE. Developments include a universal GP service for all children under 6 years and all persons over 70 years, the introduction of a Diabetes Cycle of Care for adult patients with Type 2 Diabetes, an enhanced support framework for rural GPs and a revised list of special items of service to encourage the provision of more services in the primary care setting. Additional funding of over €100 million per annum has been provided to general practice to support the roll-out of these initiatives.
I envisage that, subject to the overall resources available to Government, commitments to the provision of additional State resources to general practice will be linked to the outcome of contractual negotiations on the expansion of the range of services encompassed by the GMS contract.
