Written answers
Tuesday, 20 October 2015
Department of Health
General Practitioner Services
Billy Kelleher (Cork North Central, Fianna Fail)
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516. To ask the Minister for Health further to Parliamentary Questions Nos. 299 and 300 of 13 October 2015 regarding the cost of extending free general practitioner care to all those under 18 years of age and his Department's current estimate of the full-year cost of providing this care for the whole population on the basis of the scope and content of the general practitioner service, the relevant fee structure and the eligibility rates applying to the under sixes scheme. [36557/15]
Kathleen Lynch (Cork North Central, Labour)
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The fees and allowances (structure and rates) relating to the under-6 GP contract are set out in Schedule 1 of that contract, i.e. the agreement for the provision of services for the Health (General Practitioner Service) Act 2014, as per the attached table. The contract is available online at:
The other relevant payments outlined in the final row of the table are set out in Schedules 2, 3, 5, 6, 7, 8, 9 and 10 of Statutory Instrument 277/2013, which is available online at: .
| Fees and Allowances payable to GP contract holders in respect of Child Patients on their panel | € |
|---|---|
| Annual Capitation Fee per Child Patient on the GP’s panel, which includes two periodic assessments, one at age two and one at age five. | €125.00 |
| Initial Asthma diagnosis and registration after the Child Patient reaches the age of two years | €50.00 |
| Enhanced capitation in year one post registration (subject to submission of annual dataset return). Includes two visits, one at three months post registration and an annual review visit. | €90.00 |
| Enhanced capitation for each subsequent year up to and including the age of five years (subject to submission of annual dataset return) | €45.00 |
| Special Services (Special Items of Service) for Under 6 Patients | |
| Service | Amount |
| Removal of lodged or impacted foreign bodies from the: (a) ear (b) nose (c) throat (d) skin | €24.80 |
| Removal of adherent foreign bodies from the conjunctival surface of the eye | €24.80 |
| Suturing of cuts and lacerations (including application of tissue glue) | €37.21 |
| Excisions/cryotherapy/diathermy of skin lesions | €24.80 |
| Draining of abscess | €24.80 |
| Nebuliser treatment in the case of acute asthmatic attack | €37.21 |
| Treatment and plugging of nasal and dental haemorrhages | €24.80 |
| Attendance by General Practitioner at case conferences | €62.02 |
All Other relevant payments, such as Out-of-Hours, Rural Practice Allowance, Second Medical Opinion, Practice Support Subsidies, Contribution towards Locum expenses, etc. will be in accordance with the rates payable under the General Medical Services (GMS) Capitation Contract.
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