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General Practitioner Services

Dáil Éireann Debate, Tuesday - 20 June 2023

Tuesday, 20 June 2023

Questions (650)

Paul Murphy

Question:

650. Deputy Paul Murphy asked the Minister for Health if he will instruct the HSE to assist a woman (details supplied) to find a new GP surgery to attend as a matter of urgency. [29313/23]

View answer

Written answers

GPs are private practitioners, most of whom hold a contract with the HSE for the provision of health services, such as the GMS contract for the provision of GP services to medical card and GP visit card holders.

Where a patient who holds a medical card or GP visit card experiences difficulty in finding a GP to accept them as a patient, the person concerned having unsuccessfully applied to at least three GPs in the area (or fewer if there are fewer GPs in the area), can apply to the HSE National Medical Card Unit which has the power to assign that person to a GP's GMS patient list.

People who do not hold a medical card or a GP visit card access GP services on a private basis, in which the Minister has no role, and can make enquiries directly to any GP practice they wish to register with. As private contractors, it is a matter for each individual GP to decide whether to accept additional private patients.

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 and that general practice is sustainable in all areas into the future.

Under the 2019 GP Agreement additional annual expenditure provided for general practice has been increased 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, increased rural practice supports and a support for GPs in disadvantaged urban areas, have also been provided for.

These measures make general practice in Ireland a more attractive career choice and will see an increase in the number of GPs working in the State, improving access to GP services for patients throughout the country.

In addition, the number of doctors entering GP training has been increased in recent years, rising from 193 in 2019 to 258 in 2022, with 285 new entrants places made available for this year and 350 places now planned for next year. Furthermore, the joint HSE and ICGP programme to bring 100 non-EU GPs to Ireland in 2023 will help to quickly improve access to GP services, particularly in areas with limited access. This will increase to 250 placements by the end of 2024.

The strategic review of GP services is to commence shortly and will be completed this year. The review, with input from key stakeholders, will examine the broad range of issues affecting general practice and will set out the measures necessary to deliver a more sustainable general practice into the future.

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