Thomas Gould
Question:76. Deputy Thomas Gould asked the Minister for Health the actions being taken to address the GP crisis in Cork city. [26660/23]
View answerThursday, 1 June 2023
Questions (76)
Written answers
GPs are self-employed practitioners and therefore may establish practices at a place of their own choosing. There is no prescribed ratio of GPs to patients and the State does not regulate the number of GPs that can set up in a town or community.
Under the GMS scheme, the HSE contracts GPs to provide medical services without charge to medical card and GP visit card holders. Currently there are 2,539 GPs contracted to provide services under the GMS Scheme. Where a vacancy arises in a practice with a GMS contract, the HSE becomes actively involved in the recruitment process to find a replacement GP. While recruitment is ongoing, the HSE puts in place a locum or other appropriate arrangement to maintain GP services to the communities in question. As of this month, there are 30 GMS vacancies, approximately 1 percent of the total number of panels, including one vacancy in Cork city.
The Government is aware of the workforce issues currently facing general practice and is working to ensure patients across the country continue to have access to GP services.
Under the 2019 GP Agreement the additional annual expenditure provided for general practice has been increased now by €211.6m. This provides for significant increases in capitation fees for participating GMS GPs, and new fees and subsidies for additional services. Improvements to GP’s maternity and paternity leave arrangements and a support for GPs in disadvantaged urban areas, have also been provided for, as well as a 10 percent increase in the enhanced supports package for rural GP practices.
The number of doctors entering GP training has been increased approximately ten percent year on year from 2019, rising from 193 in 2019 to 258 in 2022, and a further large increase to 285 is planned for this year. Following the transfer of responsibility for GP training from the HSE to the Irish College of General Practitioners (ICGP), it is aimed to have 350 training places available for new entrants per year by 2026.
In addition, the HSE is working with the ICGP on a programme to bring 100 non-EU GPs to Ireland in 2023 to help improve access to GP services, particularly in areas with limited access. These new additional posts will work in general practice for a 2-year period following which they will be able to take up a General Medical Services contract. The programme commenced with 25 posts having started in January and is progressing to meet the target of 100 additional non-EU GP placements by year end.
Furthermore, I recently published the Terms of Reference for a Strategic review of General Practice which will commence shortly and is to be completed this year. The review, with input from key stakeholders, will examine the broad range of issues affecting general practice including issues around GP capacity, and will set out the measures necessary to deliver a better general practice.