GPs are private practitioners, most of whom hold a contract with the HSE for the provision of health services. Under the GMS scheme, the HSE contracts GPs to provide medical services without charge to medical card and GP visit card holders.
For GMS patients unable to locate a GP themselves, the HSE may assign an eligible person to be included on a medical practitioner's GMS list where that person has unsuccessfully applied to at least three GPs in their area (or fewer if there are fewer GPs in the area), in accordance with the GMS contract.
People who do not hold a medical card or GP visit card access GP services on a private basis and can make enquiries directly to any GP practice they wish to register with. As private practitioners, it is a matter for each individual GP to decide whether to accept additional private patients. Neither my Department nor the HSE have any role in assigning patients who do not hold a medical card or a GP visit card to a GP's patient list.
The Government is aware of the workforce issues currently facing general practice, including the limited access to GP services in certain areas, and is working to ensure 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%.
The recent GP Agreement 2023 announced in July, which provides for the expansions of GP care without charges to those who earn up to the median household income and to children aged 6 & 7, includes additional capacity supports to enable the expansion and retention of staffing within general practice. It includes additional supports for GP Out of Hours services also.
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.
The number of doctors entering GP training has been increased in recent years, with 287 new entrants for this year and 350 places for new entrants planned for next year. Annual intake to the GP training scheme has been increased by over 80% since 2015. Furthermore, the joint HSE and ICGP programme underway to bring up to 100 non-EU GPs to Ireland in 2023 will help to quickly improve access to GP services, particularly in areas with limited access. It is planned to bring to Ireland up to 250 more non-EU GPs by the end of 2024.
