Caoimhghín Ó Caoláin (Cavan-Monaghan, Sinn Fein)
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Question 351: To ask the Minister for Health and Children if his attention has been drawn to the practice of general practitioners charging over 70s medical card patients for examinations, blood tests and completion of forms in connection with applications for renewal of driving licences; if these procedures are covered under the general medical services; and if he will make a statement on the matter. [12391/11]

Róisín Shortall (Dublin North West, Labour)
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Under the General Medical Services (GMS) contract, a general practitioner (GP) is expected to provide his/her patients who hold medical cards or GP visit cards with all proper and necessary treatment of a kind generally undertaken by a GP. Where blood tests form part of the investigation and necessary treatment of patients' symptoms or conditions, these should be provided free of charge to medical card and GP visit card holders. The HSE also points out that, in many GP surgeries, it is the practice nurse who takes blood samples. The HSE significantly subsidises the cost of employing practice nurses.

I would be most concerned if it were to emerge that GMS patients are being charged inappropriately by GP contractors. If the HSE is made aware of specific cases where GMS patients are being charged by GP contractors, it will arrange to have such cases investigated as appropriate. A report has been requested from the Primary Care Unit Managers in the HSE on the extent of complaints received and the status of same. The contract between the HSE and GPs under the GMS Scheme stipulates that fees are not paid to GPs by the HSE in respect of certain medical certificates which may be required, for example, "under the Social Welfare Acts or for the purposes of insurance or assurance policies or for the issue of driving licences". There are no proposals to alter this provision.