Dr. Pádraig McGarry:

I agree there needs to be a model and it cannot be a single-fit fits all. In the specific areas described by Deputy John Brassil, the need for a salaried general practitioner needs to be recognised. What I am referring to with the individual model is more across the board rather than in isolated problems. There is significant scope for that type of arrangement and a contract will have to reflect that.

What will have to be taken into account is the significant cost to the State or whoever will be the paymaster for that type of arrangement. If one takes on a salaried general practitioner, one will have to take on all that goes with it such as premises, employment of staff and IT. It is not just a question of employing a salaried GP. It will be necessary to employ other staff to go with that. That could prove expensive if it was rolled out across the country.

I agree with the Deputy on the individual cases referred to where there is a particular problem. Due cognisance has to be taken, however, as to what that is likely to cost the Exchequer and if it is affordable. That is for the committee to determine.