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Seanad: Commencement Matters: Primary Care Centres (2 Feb 2016)

Kathleen Lynch: ...however, it may be necessary to control car parking and charge for its use. I am assuming that this is when a centre is in the middle of a busy and built-up area. In these circumstances, parking fees are similar to those charged by the local authority for parking in the area. As the Senator will be aware, local authorities throughout the country operate systems of parking restrictions...

Written Answers — Department of Health: General Practitioner Services (26 Jan 2016)

Kathleen Lynch: ...services provided by their GP, or the Practice Nurse on behalf of the GP, which are required to either assist in the diagnosis of illness or the treatment of a condition. Consultation fees charged by GPs outside the terms of the GMS contract are a matter of private contract between the clinicians and the patients. While I have no role in relation to such fees, I would expect...

Written Answers — Department of Health: General Practitioner Services (19 Jan 2016)

Kathleen Lynch: ...system under the General Medical Services (GMS) Scheme and other schemes. GPs are remunerated for these services primarily on a capitation basis, with a range of additional support payments and fees for specific items of service. The amount payable in respect of certain of these supports is related to the doctor's panel size. In addition, medical indemnity insurance premia are refunded...

Topical Issue Debate: General Practitioner Contracts (13 Jan 2016)

Kathleen Lynch: ...contraceptive methods. Having regard to the easing of the State's financial position, the Department of Health will shortly commence a formal consultation process under the FEMPI Acts in respect of the fees and allowances that are payable to contracted GPs. I emphasise that we feel we will shortly be in a position to make a proposal that - it is hoped - will find favour with the IMO in...

Written Answers — Department of Health: General Medical Services Scheme (13 Jan 2016)

Kathleen Lynch: ...with an option of receiving this service locally in a primary care setting rather than attending an acute hospital. Warfarin testing is available free of charge in hospitals. Consultation fees charged by GPs outside the terms of the GMS contract are a matter of private contract between the clinicians and the patients. While I have no role in relation to such fees, I would expect...

Written Answers — Department of Health: General Practitioner Contracts (13 Jan 2016)

Kathleen Lynch: ...practitioners under the GMS contract. These changes were given effect under the terms of the Financial Emergency Measures in the Public Interest (FEMPI) Act 2009. These reductions applied to all fees and allowances, including payments for special items. Having regard to the easing of the State's financial position, the Department of Health will shortly commence a formal consultation...

Written Answers — Department of Health: Pharmacy Regulations (13 Jan 2016)

Kathleen Lynch: ...inspection and enforcement, including the taking of prosecutions; and - handling complaints and disciplinary matters, including the imposition of sanctions. The PSI is funded by registrant fees which are set out in Rules made by the PSI Council, following Ministerial consent. Following an extensive review of the PSI functions and related costs, and consultation with national...

Assisted Decision-Making (Capacity) Bill 2013: From the Seanad (Resumed) (17 Dec 2015)

Kathleen Lynch: ...people whose capacity is to be challenged or assessed in court have an automatic right to representation by the Legal Aid Board and the board has the right to charge but only to the limit of the fee set by the Legal Aid Board. If one is entitled to free legal aid, then well and good, and the same criteria will apply. There is nothing to prevent people who wish to use their own legal team...

Written Answers — Department of Health: General Practitioner Services (17 Dec 2015)

Kathleen Lynch: Since 2009, a number of reductions have been applied under the Financial Emergency Measures in the Public Interest Act 2009 (FEMPI) to the fees and allowances paid to health professionals, including GPs who provide services under the General Medical Services (GMS) Scheme. Over this period, the annual Rural Practice Allowance (RPA) under the GMS capitation agreement was reduced from...

Seanad: Assisted Decision-Making (Capacity) Bill 2013: Report and Final Stages (15 Dec 2015)

Kathleen Lynch: ...even where the relevant person may subsequently have to pay for the costs of legal representation, that person will still benefit from access to the services of specially trained solicitors and from the fee limits imposed by the Legal Aid Board. As a result, the person will have access to a specialist legal service for potentially lower costs than would apply if the person were to select...

Seanad: Assisted Decision-Making (Capacity) Bill 2013: Report and Final Stages (15 Dec 2015)

Kathleen Lynch: ...for it. The Senator raised the issue of costs. Thankfully I am not responsible for costs. Whenever I come across anything for which I am not responsible I always say, "Thanks be to God." The fees are set by the Legal Aid Board in consultation with the Department of Justice and Equality and will be no more or no less than for any legal service. Account would always be taken of the fact...

Written Answers — Department of Health: Nursing Home Services (15 Dec 2015)

Kathleen Lynch: ...provider of the nursing home must agree a contract with each resident within one month of their admission. This contract must include details of the services to be provided to that resident and the fees to be charged. Residents should not be charged fees which are not set out in the contract. The HSE is not a party to such contracts which are concluded between each resident and their...

Seanad: Assisted Decision-Making (Capacity) Bill 2013: Committee Stage (Resumed) (10 Dec 2015)

Kathleen Lynch: ...fleshed out in respect of the type of information, who should have it, what happens with it afterwards and for what it can be used. Amendment No. 237 allows the decision support service to charge fees for its services. It is appropriate that the decision support service could have this possibility and is in line with international practice. Some functions it will undertake will be...

Written Answers — Department of Health: General Medical Services Scheme Administration (10 Dec 2015)

Kathleen Lynch: ...under this review process. Under the Financial Emergency Measures in the Public Interest Act 2009 (FEMPI), the “distance from the GP’s surgery” was removed as a factor in calculating certain fees payable to GPs under the GMS Scheme. Any reversal of this measure would have to be considered in the context of the review of fee adjustments introduced under FEMPI for...

Written Answers — Department of Health: Medicinal Products Prices (10 Dec 2015)

Kathleen Lynch: ...141 together. The prices of drugs vary between countries for a number of reasons, including different prices set by manufacturers, different wholesale and pharmacy mark-ups, different dispensing fees and different rates of VAT. The size of the market can also be a factor in the prices set by manufacturers. The Lancet Oncologystudy referred to by the Deputy relates to list prices of...

Seanad: Assisted Decision-Making (Capacity) Bill 2013: Committee Stage (9 Dec 2015)

Kathleen Lynch: ...application to register the instrument creating the power of attorney as soon as he or she believes the donor lacks capacity. Subsection (2) provides that the application for registration shall be made in a form that is to be prescribed by the Minister. The fee to accompany the application shall also be prescribed in regulations. Subsection (3) requires the attorney to notify specified...

Seanad: Assisted Decision-Making (Capacity) Bill 2013: Committee Stage (9 Dec 2015)

Kathleen Lynch: ...can be appealed to the court. Subsection (2) sets out the grounds on which an objection to the registration of an instrument creating an enduring power of attorney may be made. It also allows for the possibility of a fee being charged which will help to filter out frivolous or vexatious objections. Section 46 of the Bill, as published, contains some similar provisions. Subsection (3)...

Written Answers — Department of Health: General Practitioner Services (9 Dec 2015)

Kathleen Lynch: In Budget 2016, the Government made financial provision for the extension of GP care without fees to all children aged 6 to 11 years. It is envisaged that, subject to enactment of appropriate changes to the legislation, this extension will take effect in the latter part of 2016. This will also be subject to negotiation with the Irish Medical Organisation (IMO) in relation to the scope of the...

Written Answers — Department of Health: General Practitioner Services (3 Dec 2015)

Kathleen Lynch: ...system under the General Medical Services (GMS) Scheme and other schemes. GPs are remunerated for these services primarily on a capitation basis, with a range of additional support payments and fees for specific items of service. The amount payable in respect of certain of these supports is related to the doctor's panel size. In addition, medical indemnity insurance premia are refunded...

Written Answers — Department of Health: General Medical Services Scheme Data (3 Dec 2015)

Kathleen Lynch: ...Services (GMS) contract, GPs are reimbursed by the HSE's Primary Care Reimbursement Service (PCRS) for a range of services they provide to medical card and GP visit card holders. The current fee and allowance rates are set out in S.I. 277/2013 - Health Professionals (Reduction of Payments to General Practitioners) Regulations 2013, which are available on-line at: The PCRS publishes an...

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