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General Practitioner Services

Dáil Éireann Debate, Tuesday - 28 July 2020

Tuesday, 28 July 2020

Questions (883)

Louise O'Reilly

Question:

883. Deputy Louise O'Reilly asked the Minister for Health the cost paid by the State for a general practitioner visit under the general medical services scheme. [18058/20]

View answer

Written answers

 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 rather than a per-visit basis, with a range of additional support payments and fees for specific items of service. It is therefore not possible to calculate the cost of a GP visit under the GMS scheme.

The table below outlines the current capitation fees payable in respect of medical card and GP visit card patients, by age group.

Age Cohort

Medical Card/GP Visit Card

Male

Medical Card/GP Visit Card

Female

0 – 4 years

€74.59

€72.76

5 year-old, where GP does not hold an under 6 contract

€43.29

€43.79

0 - 5 years, where GP holds an under 6 contract - includes two periodic assessments, one at age two and one at age five

€125.00

€125.00

0 – 5 years where GP holds an under 6 contract - initial Asthma diagnosis and registration after the child reaches the age of two years

€50.00

€50.00

0 – 5 years where GP holds an under 6 contract - enhanced capitation (in respect of child in year one post asthma registration (subject to submission of annual dataset return). Includes two visits, one at three months post registration and an annual review visit

€90.00

€90.00

0 – 5 years  where GP holds an under 6 contract - enhanced capitation for asthma patients for each subsequent year up to and including the age of five years (subject to submission of annual dataset return)

€45.00

€45.00

6 – 15 years

€53.38

€54.00

16 – 44 years

€68.15

€111.44

45 – 64 years

€136.12

€149.57

65 – 69 years

€143.39

€159.97

Aged 70 years and over, residing in the community

€334.95

€334.95

Aged 70 years and over, residing in a private nursing home (approved by the HSE) for continuous in excess of 5 weeks

€535.38

€535.38

 

In addition to capitation fees, GPs receive a range of supports including practice nurse and practice secretary subsidies, rural practice support grants, allowances to cover locum expenses for annual leave, sick leave and maternity and paternity leave, as well as fees for the provision of special items of  service.  Details of the fees and allowances payable to GPs who hold a GMS contract are set out in the Public Service Pay and Pensions Act 2017 (Section 42) (Payments to General Practitioners) Regulations 2019 – S.I. No. 692 of 2019.

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