Oireachtas Joint and Select Committees

Wednesday, 24 May 2023

Joint Oireachtas Committee on Health

HSE National Service Plan 2023: Discussion

Mr. Bernard Gloster:

The primary care centre in its original construct and design was not necessarily going to add GPs. It was going to co-locate GPs with all of the other primary care disciplines, public health nurses, district nurses, and allied health professionals such as speech and language therapists, physiotherapists, occupational therapists and so on, so that they could work together as primary care teams particularly on complex cases. More than additionality, it was about co-locating. Certain GPs were quite resistant to it because the business model did not suit and the developers might have been looking for high rent and so on. We became more flexible about it as the years went on. When they were originally described, I remember them very well. We describe them such that every primary care centre would have four GPs.

That was the set frame of it at the time. We found out quickly that in a large portion of them there was not a hope of getting four GPs, because GPs invested in their own buildings-----

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