Réada Cronin (Kildare North, Sinn Fein)
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481. To ask the Minister for Health the initiatives his Department is undertaking to tackle the crisis in primary care whereby general practitioners' practices in north County Kildare and elsewhere are full and cannot accept new patients; and if he will make a statement on the matter. [49160/21]

Stephen Donnelly (Wicklow, Fianna Fail)
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Where a GMS patient experiences difficulty in finding a GP to accept him/her as a patient, the person concerned having unsuccessfully applied to at least three GPs in the area can apply to the HSE National Medical Card Unit which has the power to assign that person to a GP's GMS patient list.

People who do not hold a medical card or GP visit card access GP services on a private basis and can make enquiries directly to any GP practice they wish to register with. As private contractors, it is a matter for each individual GP to decide whether to accept additional private patients. Where a GP practice has a full list of patients and cannot take on new patients, patients should contact other GP practices in the surrounding areas.

The Government is aware of the workforce issues currently facing general practice, including the limited access to GP services in certain areas, and has implemented a number of measures to improve recruitment and retention in general practice.

These 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. Enhanced supports for rural GP practices have also been introduced.

The 2019 Agreement on GP contractual reforms will see the Government increase investment in general practice by approximately 40% (€210 million) between 2019 and 2023. The Agreement provides for increased support for GPs working in rural practices and for those in disadvantaged urban areas, and for improvements to maternity and paternity leave arrangements. In addition, the number of GPs entering training has been increased steadily over the past number of years, rising from 120 in 2009 to 233 in 2021.

These measures will see an increase in the number of GPs working in the State, improving access to GP services for patients throughout the country.