The main area of contention is that this additional workload was imposed on GPs without consultation. People were coming into surgeries expecting the forms to be completed without any prior notification from the relevant authorities. The completion of medical certificates is not provided for within the GMS contract. Who will pay these fees? The Government will not pay while Longford County Council and other local authorities in the region are unable to pay due to budgetary shortfalls. Local authorities are not funded for this sort of expenditure. Matters are at a virtual standstill, leaving an unacceptable backlog of applicants waiting to have essential works carried out in their homes. This grant is essential to ensure that the disabled can have a reasonable standard of mobility and normality in their own homes. It enables them to have remedial aids such as ramps, walk-in showers and rails installed.