Dáil Éireann Debate, Wednesday - 17 April 2013
255. Deputy Róisín Shortall asked the Minister for Health further to Parliamentary Question No. 283 of 27 March 2013 (details supplied) if he will explain the way in which this will operate in the context of his commitment to introduce free general practitioner care; and if he will make a statement on the matter. [17999/13]
Amharc ar fhreagraThe Government is embarking on a major reform programme for the health system, the aim of which is to deliver a single-tier health service, supported by universal health insurance (UHI), where access is based on need, not on income.
In order to prepare for the introduction of UHI, a number of key building blocks must be put in place. These include the significant strengthening of primary care with the introduction, on a phased basis, of GP care without fees for the whole population. As part of the first phase of free GP care, legislation is currently being drafted by the Office of the Attorney General and the Department. The legislation will be published when it is completed, with implementation dates and application details to be announced once it is in place.
The subsequent introduction of UHI will see the whole population continue to enjoy access to GP care without fees. Under UHI, everyone will be insured and will have equal access to a standard package of primary and acute hospital services, including acute mental health services. The purchasing of healthcare will be largely devolved to health insurers who will commission care for their members and who will have a duty to use this purchasing role to ensure the provision of quality, continuous care across settings. In addition, a new Insurance Fund will have a central strategic role, directly financing and centrally controlling some healthcare costs, and working with health insurers to support the delivery of high quality, integrated care.
