Louise O'Reilly (Dublin Fingal West, Sinn Fein)
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652. To ask the Minister for Health if she is aware of the chronic shortage of GP services in north County Dublin; to outline her plans to deal with this issue; if she has considered the introduction of directly employed GPs to alleviate the waiting times for people in north County Dublin to access GP care; and if she will make a statement on the matter. [4395/25]

Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)
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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 2,539 GPs contracted to provide services under the GMS Scheme.

A number of measures have been taken in recent years to increase the number of GPs practising in the State and thereby improve access to GP services for all patients across the country.

Under the 2019 GP Agreement additional annual expenditure provided for general practice was increased by €211.6m. This provided for significant increases in capitation fees for participating GMS GPs, and new fees for additional services and increased practice supports. The GP Agreement 2023 further increased GP capitation fees, increased the existing subsidy rates for practice staff, and introduced a grant support for additional staff capacity as well a practice staff maternity leave support. These measures make general practice in Ireland a more attractive career choice for doctors.

Annual intake to the GP training scheme has been increased by approximately 80% from 2019 to 2024, with 350 new entrant training places made available from 2024. 346 new entrants commenced training last year, a 21% increase on the previous year’s intake of 286.

Furthermore, recruitment of GPs from abroad commenced in 2023 under the joint HSE and ICGP International Medical Graduate (IMG) Rural GP Programme. 114 IMG GPs were in practice as of October last and funding has been provided to recruit up to 250 more GPs from outside Ireland to the country this year.

As part of the Strategic Review of General Practice currently underway consideration will be given to the possible role of HSE employed GPs, as well as other possible mechanisms to attract GPs to underserved areas, as part of a wider examination of the GP capacity issue.

It should be noted that any proposed model involving salaried GP positions would require careful consideration to ensure the required level of service could be provided for medical card and GP visit card holders.