Pat Carey (Dublin North West, Fianna Fail)
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Question 204: To ask the Tánaiste and Minister for Health and Children if her Department has been involved in discussions in resolving the long running problems of chiropodists charging a top-up fee to GMS patients; and if she will make a statement on the matter. [25873/06]

Mary Harney (Dublin Mid West, Progressive Democrats)
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There is no statutory obligation on the Health Service Executive (HSE) to provide chiropody services to GMS patients; however in practice arrangements are made to provide these services. Before the establishment of the HSE the nature of the arrangements for chiropody and the level of service provided was a matter for individual health boards and so a degree of variation in practice developed over time. Priority is usually given to certain groups of people, including people who are medical card holders aged 65 years and over. In several regions the service is provided by private chiropodists by arrangement with the HSE.

I consider that it is inappropriate for private chiropodists who are providing services on behalf of the HSE to charge patients a top-up fee, and I have conveyed this view formally to the HSE. My Department requested the HSE to review the fee arrangements in place for the provision of chiropody services, with a view to ensuring that such additional fees will no longer be levied on persons in receipt of this service; and this process is well underway.