Written answers

Wednesday, 20 September 2017

Department of Health

General Practitioner Services Provision

Photo of Michael Healy-RaeMichael Healy-Rae (Kerry, Independent)
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373. To ask the Minister for Health his plans to keep older and newly qualified general practitioners here; and if he will make a statement on the matter. [39056/17]

Photo of Simon HarrisSimon Harris (Wicklow, Fine Gael)
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The Government is committed to the continued development of GP capacity to ensure that patients across the country continue to have access to GP services and that general practice is sustainable in all areas into the future. I want to ensure that existing GP services are retained and that general practice remains an attractive career option for newly qualified GPs.

Efforts undertaken in recent years to increase the number of practicing GPs include changes to the entry provisions to the GMS scheme to accommodate more flexible/shared GMS/GP contracts, and to the retirement provisions for GPs under the GMS scheme, allowing GPs to hold GMS contracts until their 72nd birthday, as well as the introduction of enhanced supports for rural GP practices. These steps should help to address the future demand for GPs by enticing GPs who may have ceased practising for family or other reasons back into the workforce, facilitating GPs to work past the standard retirement age and encouraging more GPs to work in rural areas.

Separately, the State is seeking to train more GPs to provide GP services to the population. In 2009, there were 120 GP training places and in 2017 there were 170 training places filled. The Government is committed to further increasing this number in future years.

In addition, I have repeatedly emphasised the need for a new GP services contract which will help modernise our health service and develop a strengthened primary care sector, and health service management have already progressed a number of significant measures through engagement with GP representatives in recent years. The aim is to develop a contract which has a population health focus, providing in particular for health promotion and disease prevention and for the structured ongoing care of chronic conditions. A new contract should be flexible and be able to respond to the changing nature of the GP workforce. It should also include provisions in relation to service quality and standards, performance, accountability and transparency. I think this will be key in making general practice a more attractive career.

The next phase of engagement on a new GP contract is under way. I am keen to ensure that future contractual terms for GPs would enjoy the support of the broad community of GPs and in this regard officials from my Department and the HSE are engaging with the relevant GP representative bodies in relation to the wide range of matters which will need to be encompassed by the contract development process. The GP contracts review process will, among other things, seek to introduce further measures aimed at making general practice a fulfilling and rewarding career option into the future.

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