Dáil Éireann Debate, Tuesday - 24 May 2022
653. Deputy Pat Buckley asked the Minister for Health the serious shortage of general practitioner places in east Cork which is leading many locals (details supplied) to go without GP care; and the efforts he will make to resolve same. [26288/22]
Amharc ar fhreagraGPs 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. Certain groups, including those under 6 years of age and those over 70 years of age, are automatically entitled to a GP visit card. 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. As of the 1st of May 2022, there are no GMS GP vacancies in County Cork.
Where a GMS patient experiences difficulty in finding a GP to accept him/her 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 a GMS patient to a GP's GMS patient list. Likewise, a parent on behalf of a child GMS patient who experiences difficulty in finding a GP that will accept their child as a patient can apply to the HSE National Medical Card Unit also.
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 contractors, it is a matter for each individual GP to decide whether to accept additional private patients. Information on the capacity of GP practices to accept private patients is not collected by the HSE.
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.
The 2019 Agreement on GP contractual reform and service development will see the Government increase annual investment in general practice by approximately 40% (€210 million) between 2019 and 2023. The Agreement provides for increased support for GPs working in rural practices and for those in disadvantaged urban areas, and for improvements to maternity and paternity leave arrangements. In addition, the number of GPs entering training has been increased steadily over the past number of years, rising from 120 in 2009 to 233 in 2021, with an intake of 258 planned for this year.
These measures will see an increase in the number of GPs working in the State, improving access to GP services for patients throughout the country.
