Bernard Durkan (Kildare North, Fine Gael)
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310. To ask the Minister for Health the procedure in place to ensure an adequate coverage of GPs to replace those retiring and provide a service to new residents who have not yet been able to source a GP; and if he will make a statement on the matter. [10792/23]

Stephen Donnelly (Wicklow, Fianna Fail)
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GPs are self-employed practitioners and therefore may establish practices at a place of their own choosing. There is no prescribed ratio of GPs to patients and the State does not regulate the number of GPs that can set up in a town or community.

Under the GMS scheme, the HSE contracts GPs to provide medical services without charge to medical card and GP visit card holders. Currently there are 2,529 GPs contracted to provide services under the GMS Scheme.

Where a GP GMS vacancy is set to arise in a practice, the HSE is notified in advance and becomes actively involved in the recruitment process to find a replacement GP. As of 1st of February 2023 there are 32 GMS vacancies across the country.

Where a GMS patient experiences difficulty in finding a GP to accept them as a patient, the person concerned having unsuccessfully applied to at least three GPs in the area (or fewer if there are fewer 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. 

Under the 2019 GP Agreement, the Government is increasing annual investment in general practice by approximately 40% (€210 million) between 2019 and 2023. The Agreement provides for an increase in capitation fees for GPs, additional services, improved family arrangements as well as a targeted €2 million fund to support to practices in deprived urban areas.

A steady increase has been seen in the number of doctors entering GP training over recent years, rising from 120 in 2009 to 258 in 2022. The transfer of GP training from the HSE to the Irish College of General Practitioners (ICGP), which was concluded in 2021, will allow for the introduction of a new service model for GP training in Ireland and the further expansion GP training capacity in the years ahead. The ICGP aims to have 350 training places available for new entrants per year by 2026.

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.