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Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

...in new investment in child and adolescent mental health services, CAMHS, enhanced community care, ECC, and health promotion. Workforce and reform will see progress. Some €29.1 million of new investment is being allocated in respect of GP places, non-consultant hospital doctor, NCHD, training, nursing and midwifery and health and social care professionals, with a focus on student...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: Is that a directly-hired GP or is it an independent practice GP that will operate from the hospital?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Mr. Bernard Gloster: We would do it through the GP co-op, which would deploy a doctor for us. Based on the model the regional executive officer is proposing, we should see that making a difference. We know that a substantial number of people, amounting to over 50% of those who present to the emergency department in Limerick, do so without a GP referral. That is not to say they do not...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

...people or pregnant women. Our focus is on the undervaccinated and on those under-served populations. We are bringing the vaccine out as well as providing additional cover through the traditional GP service model for those up to the age of 18. What is the right number to vaccinate? We want to catch anybody who is not vaccinated and who is at risk. Those clinics and the way they will be...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

...domain. There is the step-down 50-bed sub-acute facility for Nenagh, which we are planning to do for one year. That will make a substantial difference. That is the first. The second is the GP at the front door initiative, which Deputy Cullinane raised with me. To follow on from Dr. Henry's comments about model 2 hospitals, my plan is, hopefully, to be able to confirm very shortly the...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Martin Conway: ...performed much better. We know that infrastructure and capacity are issues in Limerick, but the number of consultants is also an issue. The situation is very frustrating. It is to be hoped a GP will be in place to carry out triage in the next couple of weeks. Will that operate on a 24-hour basis?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

...and working, I hope to make available the resources to make it a 24-hour service. There may be pressure in terms of staffing it on a 24-7 basis. We will do the best we can with the local GP community and Shannondoc. It will not be for the want of money that it will not be in place.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Mr. Bernard Gloster: The real benefit people will see with a GP at the front door will be in the measures around that GP and the hospital, in particular the extension of the acute medical assessment unit to 24 hours. That, tied to the Shannondoc system, could make a fundamental difference.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Seán Crowe: ...and feet seen. People are saying there is a big challenge there. Will the HSE outline what it is doing in that area? People are also saying there are challenges in getting access to a dentist or GP, particularly for those on a medical card. Is there a list for people who cannot get access to a dentist or doctor in a particular area? Is that available through HSE services? The...

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