Written answers

Tuesday, 30 September 2008

Department of Health and Children

General Medical Services Scheme

11:00 pm

Photo of Michael RingMichael Ring (Mayo, Fine Gael)
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Question 277: To ask the Minister for Health and Children the annual capitation fee for each eligible person paid to doctors under the GMS contract; the schedule of GMS fees and the fee for each doctor patient contract under the fee per item of service agreement; and if she will make a statement on the matter. [32064/08]

Photo of Mary HarneyMary Harney (Dublin Mid West, Progressive Democrats)
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Doctors holding capitation contracts under the General Medical Services (GMS) Scheme with the Health Service Executive (HSE) are remunerated on the basis of the composition of their patient panel and the annual capitation rates payable reflect the age, gender and location of the patient.

A detailed list of the current rates payable is set out in tabular form:

AgeUp to 3 Miles3-5 Miles5-7 Miles7-10 MilesOver 10 Miles
MaleFemaleMaleFemaleMaleFemaleMaleFemaleMaleFemale
up to 4 years83.5381.5787.7685.8394.0192.11100.1998.30107.85105.94
5-1550.1250.6451.8752.3954.4555.0356.9557.4960.0960.58
16-4462.89100.3865.17102.6568.54106.0071.84108.7675.89113.38
45-64121.74133.38127.20138.85135.26146.89143.20154.87153.09164.70
65-69128.04142.39143.22157.59165.77180.12187.89202.26215.42229.81
70 and over139.59154.38155.22170.06178.52193.33201.37216.20229.79244.64

A capitation rate of €640 per annum is paid to GPs for the provision of service under the GMS contract for each person who qualifies for a medical card for the first time on the basis of being aged 70 years and over in the community. In respect of medical card holders, aged 70 years and over, who are resident in a private nursing home (approved by the HSE) for any continuous period of five weeks, the GP is paid a capitation rate of €927 per annum per card holder.

The other information sought by the Deputy is not provided by the Health Service Executive to my Department as a matter of routine. Accordingly, my Department has therefore requested the Parliamentary Affairs Division of the Executive to arrange to address this matter and to have a reply issued directly to the Deputy.

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