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 2,518 GPs contracted to provide services under the GMS Scheme. Where a vacancy arises in a practice with a GMS contract, the HSE becomes actively involved in the recruitment process to find a replacement GP. As of the 1st December last, there are two GMS GP vacancies in County Cork, one in Cork City and the other in Youghal.

For GMS patients unable to locate a GP themselves, the Health Service Executive may assign an eligible person to be included on a medical practitioner's GMS list, in accordance with the GMS contract.

The Government is aware of the workforce issues currently facing general practice, including the limited access to GP services in certain areas, and is working to ensure that general practice is sustainable in all areas into the future.

Under the 2019 GP Agreement additional annual expenditure provided for general practice has been increased now by €211.6m. This provides for significant increases in capitation fees for participating GMS GPs, and new fees and subsidies for additional services. Improvements to GP’s maternity and paternity leave arrangements and a support for GPs in disadvantaged urban areas, have also been provided for. In addition, the enhanced supports package for rural GP practices was increased by 10%.

The GP Agreement 2023, which provided for the expansions of GP care without charges to those who earn up to the median household income and to children aged 6 & 7, includes additional capacity supports to enable the expansion and retention of staffing within general practice. It includes additional supports for GP Out of Hours services also.

These measures help make general practice in Ireland a more attractive career choice for doctors and will see an increase in the number of GPs working in the State, improving access to GP services for patients throughout the country. Figures recently released by the ICGP show that 1,311 medical graduates have applied for GP training in 2024, a notable increase on last year and higher than any previous years.

The number of doctors entering GP training has been increased significantly in recent years, with 286 new entrants in 2023 and 350 places planned for new entrants for this year. Annual intake to the GP training scheme has been increased by over 80% from 2015 to 2023, and the number of new entrant places to be available this year is a 22% increase on last year's intake alone.

Furthermore, GP recruitment is ongoing under the joint non-EU GP Training Programme between the HSE and ICGP. It was planned to bring up to 100 non-EU GPs to Ireland in 2023, and it is now intended to bring to Ireland up to 250 more non-EU GPs by the end of 2024. The programme will help to quickly improve access to GP services, particularly in areas with limited access.

Lastly, my Department and the HSE have commenced a Strategic Review of General Practice. The review, with input from key stakeholders, is examining the broad range of issues affecting general practice, including issues related to GP capacity, and when completed will set out the measures necessary to deliver a more sustainable general practice into the future.