Written answers

Tuesday, 24 October 2023

Department of Health

General Practitioner Services

Photo of Róisín ShortallRóisín Shortall (Dublin North West, Social Democrats)
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552. To ask the Minister for Health if he intends to make provision for a range of different models of general practice; if his attention has been drawn to the concerns of GPs in relation to the determination by the Tax Appeals Commission regarding GMS income (details supplied); if he intends to examine the GMS contract in view of this clarification of the legal and administrative position; and if he will make a statement on the matter. [46327/23]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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The collection of taxes and issues relating to the interpretation of tax law are a matter for the Revenue Commissioners. However, I am aware of the concerns raised regarding new guidance to be issued shortly by the Revenue Commissioners regarding the tax treatment of GP's GMS income.

Officials from my Department and the HSE have engaged with the Office of the Revenue Commissioners and the Department of Finance to understand the context of the new guidance and to identify the potential operational issues which may arise following its publication.

Importantly, the guidance does not reflect a change in tax law, but clarifies how GPs’ GMS income should be treated for the purposes of tax under current tax law. To assist GPs and GP practices in complying with their obligations under tax legislation, Revenue will publish detailed guidance shortly. This will supplement the guidance issued to tax practitioners, through the Tax Administration Liaison Committee, in July of this year clarifying the correct tax treatment of GMS income. To allow GPs and GP practices time to make any necessary adjustments to their arrangements to ensure compliance with applicable tax policy and legislation, Revenue have implemented transitional arrangements up to the end of 2023.

My Department and the HSE are also engaged with the IMO and will remain engaged with them to address the potential operational issues raised.

The Strategic Review of General Practice, which is now under way, will examine the current contractual arrangements for the GMS, as well as other issues, and will propose measures necessary to modernise the contract.

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