Dáil debates

Thursday, 4 October 2018

Saincheisteanna Tráthúla - Topical Issue Debate

General Practitioner Contracts

4:35 pm

Photo of Mattie McGrathMattie McGrath (Tipperary, Independent) | Oireachtas source

I am to share time with Deputy Butler. Fourmilewater Health Centre, which is located just across the border from me in County Waterford, serves the parishes of Ballymacarbry, my own parish of Newcastle in County Tipperary, The Nire and Ballinamult, Tooraneena and even further afield. It is a wonderful rural general practitioner, GP, service with 1,700 patients, 1,050 of which are private patients so this is a very viable service. Since the resignation of the former GP linked to the service, Dr. Janes, who resigned in April of this year, the service has been operating with a locum GP service and there has been significant concern about the future of the health centre. I thank Dr. Janes and his staff and the previous doctor, Bill Donovan, his good wife and his receptionist who worked there for years. They gave decades of service. In June the post of a full-time GP for Fourmilewater Health Centre was advertised with a successful applicant being offered a position in July. It is my understanding that the successful applicant accepted the position in August. However, to date contracts have not yet been signed. There is a concern that the successful applicant wants to reduce this service to a part-time service operating a morning-only service thereby bringing his patients to his current practice in Clonmel, which would be a problem for the many patients who would have to travel significant distances to Clonmel, some of whom do not have cars and could not get taxis. It is my understanding that there were four applicants for the position. What is the delay in having the contracts signed and getting the new GP in place? If the successful applicant is no longer interested in providing a full-time service at Fourmilewater Health Centre why has the Health Service Executive, HSE, not moved on to offer the position to the next in line on the panel?

Fourmilewater Health Centre is in a very fortunate position whereby it is deemed to be viable and received significant interest from GPs, which is rare in the current circumstances. If the doctor selected is no longer interested in providing a full-time service, which the HSE informs me it is committed to providing, why is there a delay in moving forward by selecting a new candidate? As there is no GP service in Clonmel or Dungarvan that will have the capacity to take on 1,700 patients, a full-time service in Fouremilewater is vital.

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