Dáil Éireann Debate, Thursday - 22 January 2026
129. Deputy Albert Dolan asked the Minister for Health the actions being taken to increase GP capacity in rural Ireland; whether a dedicated rural GP strategy is in place; and if she will provide details of any timelines or targets. [5009/26]
View answerGPs 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 any area.
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 2,598 GPs contracted to provide services under the GMS Scheme. A further 634 GPs do not hold a GMS contract but hold some other contract(s) with the HSE for the delivery of health services.
Work is ongoing to increase the number of GPs practicing across the country and thereby improve access to GP services for all patients.
Over €340 million in additional annual investment in general practice has been provided under the 2019 and 2023 GP GMS Agreements. The Agreements provide for, amongst other things, increased GP capitation fees, increased and new supports for practices, as well as new fees for additional services.
GMS GPs working in rural areas who meet the qualifying criteria receive an annual rural practice support allowance under the Rural Practice Support Framework. The 2019 GP Agreement increased this practice support package for rural GP practices by 10%. Practices in receipt of rural practice supports attract the maximum allowable rates for practice staff support subsidies and locum contributions for leave taking. In addition, a new locum support initiative commenced in May last year, providing GPs in receipt of rural practice supports with access to a streamlined locum sourcing service.
The annual intake of doctors into the GP training programme has been increased by approximately 80% from 2019 to 2024, with 350 new entrant training places made available in 2024 and again in 2025. The number of new entrant training places is to increase again this year by 50 places to 400. Furthermore, recruitment of GPs from abroad is ongoing under the International Medical Graduate (IMG) Rural GP Programme which targets the placement of IMG GPs is targeted to rural and underserved areas.
There is no dedicated rural GP strategy. However, it should be noted, that in addition to the existing supports for rural GP practices further potential measures to support GP practices are being considered under the Strategic Review of General Practice. The review, currently underway, is examining the broad range of issues affecting general practice including issues related to GP capacity and will consider possible mechanisms to attract more GPs to rural and underserved 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.
