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Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: Sure, but people do not necessarily get sick during daytime hours. I want to be clear that it is not a criticism of doctors, and I would not expect a doctor who is working a full week with all the onerous responsibilities in a practice to then do night-time hours. What I am asking is whether there is potential for increasing capacity by employing people? For example, the HSE would employ...

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: I thank Dr. Quinlan.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: There is all this talk about a plan without an engine. My problem is that I do not see the plan. We can put an engine in place later but there is no plan there at the moment for general practice and that is the big problem. Indeed, we have been talking about this at this committee for a long time. There is no workforce plan in existence and that has been the huge gap and the reason we are...

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: I am not suggesting for a moment that existing GPs or their practices would be undermined. I have always been of the view that the contract should provide funding for premises. If a GP is providing his or her own premises, that should be recognised but equally if a GP cannot provide his or her own premises, it should be provided by the State.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: We need to go very wide on this. People have raised the point there about employment or premises but I was looking at what the Minister has said recently on the shortage of GPs. He starts responses to Dáil questions by stating that GPs are self-employed practitioners and, therefore, may establish practices at a place of their own choosing, that there is no prescribed ratio of GPs to...

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: Has there been research done or has anybody asked newly graduating GPs why they are emigrating?

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: Okay. It is about asking people what they need to stay here.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: I am just thinking about the Dr. Niamh Humphries survey and the research into hospital doctors.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: Has Mr. Foy been given any indication of the timescale that will apply to the review?

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: We have been told that recently and have concentrated a lot on workforce planning. There is no evidence that there is a team in the Department concentrating on this and that is what we would like to see.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: Okay. The other issue that was mentioned was shared GMS contracts and a suggestion about the need for those if somebody understandably wants a better work-life balance and is not committed.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: Where are we with a possible review of that contract?

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: It strikes me again that it is an issue of who is responsible. If a Minister can say they are all private practitioners and it is up to them to locate where they wish, that is a very good excuse for a Minister not taking responsibility for ensuring an adequate supply of GPs or other aspects of the service. That is why we need to consider the dual approach to this. If people want to...

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: I am more than happy to support it very strongly.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: What is the percentage going into general practice at the moment from the graduate entry?

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: There could be a dual system.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: I imagine Covid-19 had a lot to do with that in the past couple of years.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

Róisín Shortall: There needs to be an equivalent for general practice. As can be gathered, the committee would be strongly supportive of what the ICGP is trying to do and we want to find out more about the strategic review group. We will definitely pursue it in correspondence with the Minister but will also, I hope, take this matter up directly in the new year. It was said there was a person in the...

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