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General Practitioner Services

Dáil Éireann Debate, Wednesday - 19 January 2022

Wednesday, 19 January 2022

Questions (1730)

David Cullinane

Question:

1730. Deputy David Cullinane asked the Minister for Health the additional measures he plans to implement in 2022 to expand general practitioner capacity and otherwise assist the sector; and if he will make a statement on the matter. [1431/22]

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Written answers

GPs are self-employed practitioners and therefore may establish practices at a place of their own choosing. Under the GMS scheme, the HSE contracts GPs to provide medical services without charge to medical card and GP visit card holders.

Several efforts to increase the number of practicing GPs have been undertaken in recent years. The number of entrants to GP training has increased from 120 in 2009 to 233 in 2021, with large increases made in recent years. Further increases are expected as responsibility for training has transferred from the HSE to the Irish College of General Practitioners. Changes have been made to the entry provisions to the GMS scheme to facilitate more flexible/shared GMS contracts, and to the retirement provisions for GPs under the GMS scheme. An enhanced supports package for rural GP practices was also introduced.

Recent developments in relation to general practice, in particular the 2019 Agreement on Contractual Reform and Service Development, have helped to re-establish general practice in Ireland as an attractive career choice.  The additional investment, which will amount to €210 million annually once the Agreement is fully implemented, provides for an increase in capitation fees, improved maternity and paternity arrangements as well as enhanced supports for rural practices. In addition, targeted on-going funding of €2 million has been set aside to provide additional support to practices in deprived urban areas. The wider reforms in the health service will also help to provide an atmosphere in which the practice of medicine in Ireland will remain attractive. 

These measures will make working in general practice more attractive to doctors, helping to increase the number of GPs across the country and helping to ensure that all patients have access to GP services.

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