Thursday, 12 December 2019

Questions (267)

Stephen Donnelly

Question:

267. Deputy Stephen Donnelly asked the Minister for Health the additional funding being provided to out-of-hours general practitioner services in winter 2020; and the local breakdown of the allocation in tabular form. [52431/19]

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Written answers (Question to Health)

General practitioners contracted under the GMS scheme must make suitable arrangements to enable contact to be made with them, or a locum/deputy, for emergencies outside normal practice hours. As part of their regular obligations, GPs are contracted to provide all-hours access for GMS patients. Most GPs do this through regional GP cooperatives. GP cooperatives are private companies that provide out-of-hours services (i.e. weeknights, weekends, and public holidays).

The HSE supports the provision of these services in terms of infrastructure, call handling, and recruiting nursing staff. Currently, over 90% of the population has access to an out-of-hours GP services.

The provision of GP Out of Hours services forms an important part of service user needs in the Winter period. Each CHO area has established a Winter Action Team in conjunction with acute hospital colleagues, and each team prioritises the allocation of dedicated additional Winter funding based on local service needs and priorities.

The table below sets out the additional funding to be allocated to GP Out of Hours services in 2020 and where relevant in the 2019 Winter Period. CHO Midwest have advised that €60,000 has been allocated from their Winter funding allocation for the enhancement of GP Out of Hours services as provided by Shannondoc.

GP out of hours Service/s

Geographic Coverage of GP out of hours Service

Additional Funding

Winter Action Funding 2019

Both Caredoc and NoWDOC cover GP out of hours services within the Community Healthcare Organisation.

The Caredoc GP out of hours service covers the geographical areas of Sligo, North Leitrim and West Cavan

€250,000

Shannondoc & Limerick Doc cover GP out of hours services within the Community Healthcare

Limerick, Clare and North Tipperary. Engagement is ongoing with a GP in the Mid West who is not a member of either of co-op.

€60,000 to Shannon Doc

The South West Doctors on Call Ltd. (SouthDoc) cover GP out of hours services within the Community Healthcare

Counties of Cork and Kerry

€450,000

Carlow Emergency Doctors on Call (Caredoc CLG) cover GP out of hours services within the Community Healthcare

Carlow, Kilkenny, South Tipperary, Wexford, Waterford

€238,000

KDOC cover GP out of hours services within the Community Healthcare

Kildare & West Wicklow

€340,000

Midoc and NEDOC cover GP out of hours services within the Community Healthcare

Cavan, Monaghan, Meath & Louth (excluding Dundalk and Cooley Peninsula) and Longford / Westmeath and Laois / Offaly

€342,188

DDOC cover GP out of hours services within the Community Healthcare

Any GP who is not registered with the Northdoc Coop is not covered by this service or if they live in DNCC and their GP is in a different Coop they are not covered by this service

€179,812

Total

€1.8 m

€0.06m