Barry Heneghan (Dublin Bay North, Independent)
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2291. To ask the Minister for Health if, given the escalating crisis in GP access in the Raheny area of Dublin Bay north where countless persons are unable to register with a GP or secure timely appointments, particularly those managing chronic conditions such as asthma, she will outline the specific, targeted measures being implemented to address this shortage. [20105/25]

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. As of the 1st of April, there are 2,557 GPs contracted to provide services under the GMS Scheme and a further 623 GPs do not hold a GMS contract but hold at least one other contract with the HSE for the provision of health services.

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.

Significant increases in investment in general practice has been provided under the 2019 and 2023 GP Agreements. 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, including the introduction of a support for practices in urban areas of social deprivation.

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. The number of GP graduates has increased in recent years and will continue to increase in the coming years as a result of the increased number of new entrant training places.

Furthermore, recruitment of GPs from abroad is ongoing under the International Medical Graduate (IMG) Rural GP Programme. 119 IMG GPs were in practice as of November last and funding has been provided to recruit up to 250 more GPs to Ireland this year.

Ken O'Flynn (Cork North-Central, Independent Ireland Party)
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2292. To ask the Minister for Health if blood tests carried out at GP clinics for medical card holders are provided free of charge, or if it is at the discretion of individual GPs to apply charges for this service. [20113/25]

Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)
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GPs are private practitioners, most of whom hold a GMS contract with the HSE for the provision of GP services without charge to medical card and GP visit card holders.

Under the terms of the current GMS contract, GPs are required to provide eligible patients with ''all proper and necessary treatment of a kind usually undertaken by a general practitioner and not requiring special skill or experience of a degree or kind which general practitioners cannot reasonably be expected to possess". Persons who hold a medical card or a GP visit card are not subject to any co-payments or other charges in respect of such services.

The issue of GPs charging GMS patients for phlebotomy services (blood tests) is complex given the numerous reasons and circumstances under which blood tests are taken. Clinical determinations as to whether a blood test should be taken to either assist in the diagnosis of illness or the treatment of a condition are made by the GP concerned. There is no provision under the GMS GP contract for persons who hold a medical card or a GP visit card to be charged for clinically necessary blood tests.

In addition, blood tests undertaken in the context of the GP Chronic Disease Management programme are covered by the fees paid to GPs by the HSE for this care.

Where a patient who holds a medical card or GP visit card believes they have been incorrectly charged for routine phlebotomy services (i.e. a blood test to either assist in the diagnosis of illness or the treatment of a condition) by their GP, or has been charged for a blood test provided under the Chronic Disease Management programme, then that patient should report the matter to their HSE Local Health Office. The local management, upon being notified of potential inappropriate charging of a GMS patient, shall contact the GP concerned and carry out an investigation into the complaint and will, where appropriate, arrange for a refund of charges incorrectly applied by that GP.

Fees charged by GPs outside the terms of the GMS contracts (and other HSE GP held contracts) are a matter of private contract between the clinician and their patient.