Written answers

Tuesday, 4 March 2025

Department of Health

General Practitioner Services

Photo of George LawlorGeorge Lawlor (Wexford, Labour)
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692. To ask the Minister for Health if she is aware that it is now virtually impossible for any new patient in County Wexford to be accepted by any of the existing GP practices, which are at capacity in terms of service delivery; the plans she intends to put in place to address this critical health issue (details supplied); if she plans to provide particular incentives to attract new doctors to work in general practice in Wexford, or to existing practices to expand their services; and if she will make a statement on the matter. [9354/25]

Photo of Jennifer Carroll MacNeillJennifer 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 2,541 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 start of the February, there are no GMS vacancies in Co. Wexford.

A number of measures have been taken in recent years to increase the number of GPs practicing 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. Placement of these GPs is targeted to rural and underserved areas.

Lastly, a Strategic Review of General Practice is underway. The review, with input from key stakeholders, is examining the broad range of issues affecting general practice including issues related to GP capacity and will consider possible mechanisms to attract GPs to rural and urban deprived areas. Following its completion, a final report will be presented to me outlining the findings of the review and setting out recommended actions for a more sustainable general practice.

Photo of Erin McGreehanErin McGreehan (Louth, Fianna Fail)
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693. To ask the Minister for Health for an update on the number of GPs located in County Louth; and what actions are being taken to increase the number of GP services in Louth, considering that current GPs are unable to accept new patients. [9361/25]

Photo of Jennifer Carroll MacNeillJennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)
Link to this: Individually | In context | Oireachtas source

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. As of the start of February there are 2,541 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 practicing 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. The programme targets the placement of GPs to rural underserved areas.

In relation to the numbers of HSE contacted GPs in County Louth, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

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