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General Practitioner Services

Dáil Éireann Debate, Wednesday - 21 June 2023

Wednesday, 21 June 2023

Questions (222)

Paul Murphy

Question:

222. Deputy Paul Murphy asked the Minister for Health the actions his Department has taken to address the GP shortage and excessive waiting times for those looking for a GP appointment. [30182/23]

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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 2,550 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 put a locum or other suitable arrangement in place to provide continuity of care for the area concerned. As of the start of the month, there are 33 GMS vacancies across the country, approximately 1 percent of the total number of GMS panels. 

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 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. In addition, the enhanced supports package for rural GP practices was increased by 10%.

These measures will 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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