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Gnáthamharc

Tuesday, 24 Sep 2024

Written Answers Nos. 400-423

Health Services Staff

Ceisteanna (400)

Michael Moynihan

Ceist:

400. Deputy Michael Moynihan asked the Minister for Children, Equality, Disability, Integration and Youth the progress of pay increases for section 39 employees following the pay agreement reached in October 2023; and if he will make a statement on the matter. [37957/24]

Amharc ar fhreagra

Freagraí scríofa

This government acknowledges the roles provided by essential workers in community and voluntary organisations who deliver health and social care services to many people across the country.

To support the sustainability of services, including the ability of organisations to recruit and retain staff, the government is proactively engaging with a Workplace Relations Commission (WRC) process, with unions representing various organisations across these sectors.

The agreement reached last October committed to a significant increase of investment in the sectors, amounting to a phased 8% increase in funding for pay for staff in Section 39, Section 56 and Section 10 voluntary organisations.

Significant interim payments were made to qualifying organisations in late January/early February 2024 and the HSE is currently in the process of administering the balance of funding to eligible organisations.

According to the HSE:

At 03 September, of 1,166 organisations with whom communication was made, 680 have made submissions; 333 organisations (including the largest organisations in the sector) have exited the process; so far, additional funding equating to a cumulative value of €69.62m, relating to uplifts for 29,998 workers has been approved.

It is the objective of the HSE to make all due payments without delay so that employees of these service provider organisations can access their entitlements as soon as possible. Employers may only use the additional funding to increase pay of their staff. The responsibility is on employers to apply for this available funding and pass on increases to eligible staff.

Home Care Packages

Ceisteanna (401)

Aengus Ó Snodaigh

Ceist:

401. Deputy Aengus Ó Snodaigh asked the Minister for Health if alternative nursing home care will be provided for a person (details supplied). [37411/24]

Amharc ar fhreagra

Freagraí scríofa

As this is an operational matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Mental Health Services

Ceisteanna (402)

Duncan Smith

Ceist:

402. Deputy Duncan Smith asked the Minister for Health the current staffing levels within Meath CAMHS services; the current vacancies that are presently within the Meath CAMHS services; and the vacancies that are currently with the National Recruitment Service, in tabular form. [37459/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly as soon as possible.

Health Services Waiting Lists

Ceisteanna (403)

Jim O'Callaghan

Ceist:

403. Deputy Jim O'Callaghan asked the Minister for Health the number of people on the physiotherapy waiting list for each local health area as of 1 September 2024, or latest date available; the number waiting less than 4, 4 to 12, and the number waiting more than 12 months; and if he would indicate also for each category the numbers waiting aged 0-4, 5-17, 18-64 years and aged 65 plus, in tabular form. [37798/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Mental Health Services

Ceisteanna (404)

Pauline Tully

Ceist:

404. Deputy Pauline Tully asked the Minister for Health the total number of children on the CAMHS assessment waiting lists and CAMHS therapy services waiting list; and the total number in each CHO and LHO, in tabular form. [37851/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly as soon as possible.

Departmental Policies

Ceisteanna (405)

Michael Moynihan

Ceist:

405. Deputy Michael Moynihan asked the Minister for Health to provide an update on the implementation of the Law Reform Commission report on a framework for adult safeguarding; and if he will make a statement on the matter. [37881/24]

Amharc ar fhreagra

Freagraí scríofa

Safeguarding at-risk adults against abuse is of paramount importance and is taken very seriously by the Government. I have welcomed the independent Law Reform Commission’s Report on ‘A Regulatory Framework for Adult Safeguarding’ published in April. The Report sets out comprehensive and wide-ranging recommendations that have relevance across a range of Government Departments, including but not exclusive to the Department of Health. I anticipate that the Commission's Report will be carefully considered by all relevant Departments in relation to their respective functions. The Department of Health will continue to work in partnership with other relevant Departments in this regard.

Separately, the Department of Health, in liaison with the Department of Children, Equality, Disability, Integration and Youth, is at an advanced stage of developing a national policy on adult safeguarding specifically in respect of the health and social care sector, in order to further strengthen existing protections in this sector. A public consultation closed in April and the consultation feedback report is currently being prepared by the Institute of Public Health. It is expected that these sectoral policy proposals will be finalised and brought before Government around the end of this year, informed by the consultation process and also the Law Reform Commission’s report.

Health Services

Ceisteanna (406)

Pearse Doherty

Ceist:

406. Deputy Pearse Doherty asked the Minister for Health the number of new stoma patients referred to the community intervention team from Letterkenny University Hospital; the number of visits that have been provided to these patients, including home or clinic visits; the number of these patients who were referred to another service; the number who needed to involve the stoma nurse earlier than planned; and if he will make a statement on the matter. [37223/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Medical Cards

Ceisteanna (407)

Brendan Howlin

Ceist:

407. Deputy Brendan Howlin asked the Minister for Health if all the circumstances have been taken into account in deciding the eligibility of a person (details supplied) to a discretionary medical card; if the change of economic circumstances which will occur in October for this person and their spouse have been considered; if he will review the decision not to grant a medical card; and if he will make a statement on the matter. [37224/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Healthcare Infrastructure Provision

Ceisteanna (408)

David Stanton

Ceist:

408. Deputy David Stanton asked the Minister for Health the plans his Department has to replace a facility (details supplied); the timescales for same; and if he will make a statement on the matter. [37275/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly as soon as possible.

Nursing Homes

Ceisteanna (409, 477, 495)

Michael Healy-Rae

Ceist:

409. Deputy Michael Healy-Rae asked the Minister for Health if the HSE will continue to run and keep open a nursing home (details supplied) in County Kerry; and if he will make a statement on the matter. [37280/24]

Amharc ar fhreagra

Danny Healy-Rae

Ceist:

477. Deputy Danny Healy-Rae asked the Minister for Health the status of funding for a nursing home (details supplied); and if he will make a statement on the matter. [37521/24]

Amharc ar fhreagra

Michael Healy-Rae

Ceist:

495. Deputy Michael Healy-Rae asked the Minister for Health the status of a nursing home taken in charge by the HSE in Kerry (details supplied); and if he will make a statement on the matter. [37587/24]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 409, 477 and 495 together.

The Department of Health, the HSE and I are aware of the developing situation concerning nursing homes formerly operated by Aperee Ltd.Aperee Camp/Ocean View is the sixth nursing home from the Aperee group which has been de-registered by HIQA due to non-compliance with regulations. The Chief Inspector has identified significant levels of non-compliance including management of the centre, protection of resident’s finances and fire safety. In line with the provisions of Section 64 of the Health Act 2007, the Health Service Executive (HSE) has taken temporary responsibility for continuing services at the nursing home from 11 September 2024. I met with senior HSE leadership from the South West Health Region, including the Regional Executive Officer, on Friday 20 September to discuss the situation at Ocean View. Ensuring the welfare and safety of residents, their families and staff was the key focus of discussions. The HSE is seeking to provide safe care to residents, families and staff against a background of serious concerns about fire safety at the home. The HSE have duties as provider of last resort under Section 64 the Health Act 2007. The HSE, as the temporary provider, has requested the Chief Fire Officer from Kerry County Council to visit the centre to advise of fire safety and any immediate remedial actions necessary. The HSE team on site is committed to continue working closely with each resident individually, where appropriate supported by family members, to discuss their options in line with their wishes or ascertainable will and preference. Some residents have already identified alternative nursing home accommodation. The HSE is supporting those residents and families. Representatives of SAGE advocacy are available to provide independent support and guidance. The HSE does not own Ocean View and is currently supporting its operation on a specific and limited basis. If there are private investors interested in the nursing home, every effort will be made to facilitate any potential interest.The HSE has advised Ocean View nursing home staff that should they be interested in employment with the HSE, they would welcome their applications for employment across various public units in the region.The HSE continues to ensure that staff will be paid in the interim. The actions agreed at the September 20 meeting include:1. The HSE to immediately contact the Chief Fire Officer from Kerry County Council to visit the centre to advise of fire safety and any immediate remedial actions.2. Once the Fire Officer’s report is available, the HSE will liaise to ensure immediate actions are carried out to reduce fire risk to patients and staff.3. The HSE will continue to offer care and support to residents and families during this interim period.4. The HSE will work with Department of Health Officials to provide appropriate communication to residents, families, media and political representatives.This is an evolving situation, and the Department of Health and HSE are keeping me updated.You should please note that HIQA have engaged in a series of inspection visits to Aperee nursing homes. The Chief Inspector had serious concerns about the registered provider’s ability to sustain a safe, quality service.Inspectors had serious concerns about the overall governance of the centre and the registered provider's ability to provide a safe service for residents. Further significant concerns were highlighted by inspectors relating to the management of the centre, and the protection of residents’ finances.During each of the last five inspections of Aperee Living Camp (Ocean View), between 2022 and 2024, HIQA Inspectors found this home was not compliant with Regulations 23: Governance and management, and Regulation 28: Fire precautions.During three of the last five inspections, Aperee Living Camp was found to be not compliant with Regulation 8: Protection.All inspection reports are available online at the HIQA website: www.hiqa.ie/reports-and-publications/inspection-reports.

Health Services

Ceisteanna (410)

Seán Sherlock

Ceist:

410. Deputy Sean Sherlock asked the Minister for Health if a contraception drug (details supplied) is available on the free contraception scheme for women under 35 years; and if not, whether he will add it to the list to allow those who must take that drug avail of it. [37300/24]

Amharc ar fhreagra

Freagraí scríofa

The free contraception scheme was launched in September 2022, for women and girls ordinarily resident in Ireland, aged 17-25. The scheme was gradually extended to women aged 17-31 inclusive and was further expanded on July 1st, 2024 to include women aged 32-35.

For eligible women, the free contraception scheme provides for:

• The cost of consultations with GPs, family planning clinics and other relevant medical professionals to discuss contraceptive options with eligible patients and to provide prescriptions for these;

• The cost of a wide range of prescription contraception available on the Re-Imbursement List, dispensed at local pharmacy of choice, including contraceptive injections, implants, IUS and IUDs,

• The contraceptive patch and ring, and various forms of oral contraceptive pill, including emergency contraception.

• The cost of fitting and/or removal of various types of long-acting reversible contraception (LARC) plus any necessary checks, by medical professionals certified to fit/remove LARCs (e.g. intrauterine devices (IUD), systems (IUS), coils and implants);

The Health Service Executive (HSE) has statutory responsibility for decisions on pricing and reimbursement of medicines under the community drug schemes, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013. Medicines and devices provided to GMS (medical) card holders and through the free contraception scheme are listed on the Re - Imbursement List, which can be accessed and searched at the following link: HSE - PCRS Search Reimbursable Items (sspcrs.ie)

It is my understanding that "Lizinna", a contraceptive pill, is not currently included on the Reimbursement List.

HSE decisions on which medicines are reimbursed by the taxpayer are made on objective, scientific and economic grounds, on the advice of the National Centre for Pharmaco-Economics (NCPE). The Minister for Health has no role in these decisions. The HSE considers the NCPE assessment, the outputs from commercial engagements, patient interest group submissions, and any other pertinent information in advance of making a reimbursement decision.

It is necessary for manufacturers of medicines and devices to complete the application process to have products included on the Re-Imbursement list - should a well established medication or device of choice not be available on the List, it may be worth contacting the manufacturer to enquire as to whether an application has been made, in addition to contacting the HSE.

For further detail regarding the current contents and administration of the Reimbursement List, as this is a service matter, I have asked the HSE to respond directly to the Deputy as soon as possible.

Ambulance Service

Ceisteanna (411)

Brendan Griffin

Ceist:

411. Deputy Brendan Griffin asked the Minister for Health the steps he will take in relation to the proposal to significantly reduce the ambulance cover in Kerry (details supplied). [37304/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive (HSE) to respond to the Deputy directly, as soon as possible.

Disability Services

Ceisteanna (412)

Holly Cairns

Ceist:

412. Deputy Holly Cairns asked the Minister for Health further to Parliamentary Question No. 2043 of 23 July 2024, the number of clinical sessions typically offered to children and adolescents attending the CHO4 primary care speech and language therapy services; and if these clients are placed on another waiting list following discharge in the event that they require ongoing support. [37305/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Nursing Homes

Ceisteanna (413, 497)

Brendan Griffin

Ceist:

413. Deputy Brendan Griffin asked the Minister for Health his plans to address the needs of residents and their families in a care facility (details supplied) on the Dingle Peninsula; and if he will make a statement on the matter. [37312/24]

Amharc ar fhreagra

Brendan Griffin

Ceist:

497. Deputy Brendan Griffin asked the Minister for Health the steps he will take to stop the closure of a nursing home in County Kerry (details supplied); and if he will make a statement on the matter. [37607/24]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 413 and 497 together.

The Department of Health, the HSE and I are aware of the developing situation concerning nursing homes formerly operated by Aperee Ltd.Aperee Camp/Ocean View is the sixth nursing home from the Aperee group which has been de-registered by HIQA due to non-compliance with regulations. The Chief Inspector has identified significant levels of non-compliance including management of the centre, protection of resident’s finances and fire safety. In line with the provisions of Section 64 of the Health Act 2007, the Health Service Executive (HSE) has taken temporary responsibility for continuing services at the nursing home from 11 September 2024. I met with senior HSE leadership from the South West Health Region, including the Regional Executive Officer, on Friday 20 September to discuss the situation at Ocean View. Ensuring the welfare and safety of residents, their families and staff was the key focus of discussions. The HSE is seeking to provide safe care to residents, families and staff against a background of serious concerns about fire safety at the home. The HSE have duties as provider of last resort under Section 64 the Health Act 2007. The HSE, as the temporary provider, has requested the Chief Fire Officer from Kerry County Council to visit the centre to advise of fire safety and any immediate remedial actions necessary. The HSE team on site is committed to continue working closely with each resident individually, where appropriate supported by family members, to discuss their options in line with their wishes or ascertainable will and preference. Some residents have already identified alternative nursing home accommodation. The HSE is supporting those residents and families. Representatives of SAGE advocacy are available to provide independent support and guidance. The HSE does not own Ocean View and is currently supporting its operation on a specific and limited basis. If there are private investors interested in the nursing home, every effort will be made to facilitate any potential interest.The HSE has advised Ocean View nursing home staff that should they be interested in employment with the HSE, they would welcome their applications for employment across various public units in the region.The HSE continues to ensure that staff will be paid in the interim. The actions agreed at the September 20 meeting include:1. The HSE to immediately contact the Chief Fire Officer from Kerry County Council to visit the centre to advise of fire safety and any immediate remedial actions.2. Once the Fire Officer’s report is available, the HSE will liaise to ensure immediate actions are carried out to reduce fire risk to patients and staff.3. The HSE will continue to offer care and support to residents and families during this interim period.4. The HSE will work with Department of Health Officials to provide appropriate communication to residents, families, media and political representatives.This is an evolving situation, and the Department of Health and HSE are keeping me updated.You should please note that HIQA have engaged in a series of inspection visits to Aperee nursing homes. The Chief Inspector had serious concerns about the registered provider’s ability to sustain a safe, quality service.Inspectors had serious concerns about the overall governance of the centre and the registered provider's ability to provide a safe service for residents. Further significant concerns were highlighted by inspectors relating to the management of the centre, and the protection of residents’ finances.During each of the last five inspections of Aperee Living Camp (Ocean View), between 2022 and 2024, HIQA Inspectors found this home was not compliant with Regulations 23: Governance and management, and Regulation 28: Fire precautions.During three of the last five inspections, Aperee Living Camp was found to be not compliant with Regulation 8: Protection.All inspection reports are available online at the HIQA website: www.hiqa.ie/reports-and-publications/inspection-reports .

Health Services

Ceisteanna (414)

John McGuinness

Ceist:

414. Deputy John McGuinness asked the Minister for Health if patients with haemochromatosis that have an ongoing requirement for maintenance treatment to keep their blood iron at the recommended safe level, and who cannot attend the blood donations clinic because they are not suited to the service, will be provided with a care plan; if they will be provided direct access to services when required; if the consultant / hospital carrying out the phlebotomy will continue to care for such patients rather than refer them back to a GP or a blood donor clinic; and if he will make a statement on the matter. [37313/24]

Amharc ar fhreagra

Freagraí scríofa

I am advised by the HSE that patients with Hereditary Haemochromatosis (HH) are managed in a variety of ways around the country depending on local availability.

The HSE has undertaken two Model of Care reviews on HH and Therapeutic Phlebotomy for Patients with HH. The diagnosis, treatment and management of patients living with HH is guided by these reviews as well as the Irish College of General Practitioners’ ‘Hereditary Haemochromatosis- Diagnosis and Management from a GP Perspective’ guidance document.

The treatment for the management of HH is regular venesections, which involves the patient having their blood taken and monitoring of bloods. Venesections are typically performed via a wide variety of services in Ireland including GPs, nurse-led clinics within hospitals, in outpatient departments, via private services, or at an IBTS facility. The Department of Health and HSE agree that such services should be provided at the lowest level of complexity that is clinically and operationally feasible.

Departmental Data

Ceisteanna (415)

Pádraig O'Sullivan

Ceist:

415. Deputy Pádraig O'Sullivan asked the Minister for Health the number of persons that have applied for compensation from the Hepatitis C and HIV Tribunal; the number that have been paid; the number that are outstanding; and if he will make a statement on the matter. [37336/24]

Amharc ar fhreagra

Freagraí scríofa

The Hepatitis C Compensation Tribunal was established on a non-statutory basis in December 1995 and was put on a statutory footing in November 1997 by means of the Hepatitis C Compensation Tribunal Act. An amending Act was passed in 2002 extending the remit of the Tribunal to include HIV. The 2002 Act also introduced additional heads of claim for the dependants of infected persons – loss of consortium, dependency losses, loss of society, post-traumatic stress disorder/nervous shock and future care claims.

As of 20 September 2024, the Tribunal had registered 5,060 separate applications. I am informed that due to the nature of the legislation some applicants will have submitted more than one application.

Compensation payments are made as a result of a Tribunal award or, if this is appealed, by High Court Order. I am advised by the Tribunal that the current number of payments made in the respective categories are:

Award Type

Number of Payments

Tribunal Award

3,837

High Court Orders

412

Total

4,249

The Tribunal continues to make progress in reducing the number of outstanding claims and has reduced this number from 246 to 176 in the past 12 months while receiving 17 new applications in this period.

It should be noted that the figure for remaining claims plus paid claims does not equal received claims due to factors including some claims being adjourned generally with liberty to re-enter or claims being withdrawn.

Laboratory Facilities

Ceisteanna (416)

Denis Naughten

Ceist:

416. Deputy Denis Naughten asked the Minister for Health when the HSE will make a decision on the location of the new genomic laboratory; the timelines for when the decision will be finalised; and if he will make a statement on the matter. [37354/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Services

Ceisteanna (417)

Denis Naughten

Ceist:

417. Deputy Denis Naughten asked the Minister for Health the number of children currently waiting to attend for genetics services and cancer genetics services respectively, by waiting time period (0-6 months, 6-12 months, 12-18 months, 18+ months), in Children's Health Ireland at Crumlin Hospital, in tabular form; and if he will make a statement on the matter. [37355/24]

Amharc ar fhreagra

Freagraí scríofa

In relation to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Health Services

Ceisteanna (418)

Denis Naughten

Ceist:

418. Deputy Denis Naughten asked the Minister for Health the number of people currently waiting to attend for genetics services and cancer genetics services respectively, by waiting time period (0-6 months, 6-12 months, 12-18 months, 18+ months), in St. James's Hospital, in tabular form; and if he will make a statement on the matter. [37356/24]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the HSE to respond to the Deputy directly, as soon as possible.

Nursing Homes

Ceisteanna (419)

Pa Daly

Ceist:

419. Deputy Pa Daly asked the Minister for Health the rates the National Treatment Purchase Fund pays to a number of nursing homes (details supplied). [37361/24]

Amharc ar fhreagra

Freagraí scríofa

As this is an operational matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible

General Practitioner Services

Ceisteanna (420, 421, 424, 425, 426)

Verona Murphy

Ceist:

420. Deputy Verona Murphy asked the Minister for Health the solutions available to people who are unable to source a GP in County Wexford to take them on as a patient; and if he will make a statement on the matter. [37362/24]

Amharc ar fhreagra

Verona Murphy

Ceist:

421. Deputy Verona Murphy asked the Minister for Health where people in County Wexford without a GP should attend if they need ongoing regular medical checkups or treatment; and if he will make a statement on the matter. [37363/24]

Amharc ar fhreagra

Verona Murphy

Ceist:

424. Deputy Verona Murphy asked the Minister for Health the solutions available to a person deemed eligible for a medical card but unable to source a GP to take them on as a patient; and if he will make a statement on the matter. [37366/24]

Amharc ar fhreagra

Verona Murphy

Ceist:

425. Deputy Verona Murphy asked the Minister for Health if his Department will assist a person (details supplied) to source a GP in County Wexford; and if he will make a statement on the matter. [37367/24]

Amharc ar fhreagra

Verona Murphy

Ceist:

426. Deputy Verona Murphy asked the Minister for Health if he will assist a person (details supplied) in need of regular treatment for haemochromatosis in sourcing a GP in County Wexford; and if he will make a statement on the matter. [37368/24]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 420, 421, 424, 425 and 426 together.

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.

Where a person who holds a medical card or GP visit card, experiences difficulty in finding a GP to accept them as a patient, that person having unsuccessfully applied to at least three GPs in the area (or fewer if there are fewer GPs in the area) can apply to the HSE National Medical Card Unit which has the power to assign a GMS patient to a GP's GMS patient list in accordance with the GMS contract.

People who do not hold a medical card or GP visit card access GP services on a private basis and can make enquiries directly to any GP practice they wish to register with. As private practitioners, it is a matter for each individual GP to decide whether to accept additional private patients. Where a GP practice has a full list of patients and cannot take on new patients, patients should contact other GP practices in the surrounding areas. The HSE website provides a "Find a GP" facility which can assist in finding nearby GP practices.

It is worth noting that eligibility for a GP visit card was extended last year to all those who earn up to the median household income, which has greatly increased the number of persons eligible for a GP visit card. The qualifying threshold calculation takes into consideration the applicant’s particular expenses and the number of dependents as well as their income, allowing for those who have a higher income but also experience high expenses to potentially qualify for a card.

The Government is working to increase the number of GPs practicing in the State and thereby improve access to GP services 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% over the last 5 years. 347 new entrants commenced training this year, a 21% increase on last year’s intake of 286. Furthermore, the recruitment of GPs from abroad is ongoing under the International Medical Graduate (IMG) Rural GP Programme. 121 GPs were enrolled under the International Medical Graduate programme last year and resources have been provided to recruit up to 250 more GPs from outside Ireland this year. The placement of GPs under the programme is targeted to rural and underserviced 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. When completed, the review will set out the measures necessary to deliver a more sustainable general practice into the future.

Question No. 421 answered with Question No. 420.

Medical Register

Ceisteanna (422, 423)

Verona Murphy

Ceist:

422. Deputy Verona Murphy asked the Minister for Health the length of time the Medical Council registration process takes from application to decision; and if he will make a statement on the matter. [37364/24]

Amharc ar fhreagra

Verona Murphy

Ceist:

423. Deputy Verona Murphy asked the Minister for Health the number of doctors' applications that are currently within the Medical Council system; and if he will make a statement on the matter. [37365/24]

Amharc ar fhreagra

Freagraí scríofa

The Medical Council is the statutory agency responsible for the registration and regulation of doctors in Ireland and it has a responsibility to ensure that all doctors registered to practise medicine here meet the requirements to practise, as set out in its legislation. The Medical Council has witnessed notable growth in its register over the past five years, driven by a significant increase in applications, as outlined in the table below:

Year

Number of Doctors Registered

2020

24,720

2021

25,953

2022

27,520

2023

29,488

2024

30,807 (as of September 2024)

This year, the Medical Council has seen a 34% increase in applications, alongside an average 8% reduction in processing times, reflecting the Medical Council’s ongoing efforts to improve efficiency.

The table below outlines the number of open applications that are currently within the Medical Council system and the registration processing time for the various categories of application. The total “open” applications includes all first-time applications in the system which are either; awaiting assessment, are currently under assessment, or have had eligibility granted but have not yet activated registration.

Doctors are made “eligible” once a full assessment of their application has been conducted and it has been established that they meet the necessary requirements for registration. However, many doctors will not activate their registration immediately for a variety of reasons. It is important to note that these doctors remain eligible and their application remains “open” whether they decide to activate their registration or not.

The Deputy should also note that the Medical Council prioritises applications for doctors who have been offered a job with the HSE and operates a “fast-track” registration route for these applicants. These applications are processed in approximately 1 to 2 weeks and many of these are in the “General Non-EU COE” category, referenced in the table below.

Registration Category

Processing Timeframe (weeks)

Number of Open Applications

EU / UK General(where an applicant’s qualifications entitle them to automatic recognition under the EU Directive 2005/36/EC)

10.5

712

EU / UK Specialist(where an applicant’s qualifications entitle them to automatic recognition under the EU Directive 2005/36/EC)

10.5

528

Cat E Specialist(Doctors seeking registration in the Specialist Division, whose qualifications do not entitle them to automatic recognition under the EU Directive, can apply via the Category E route)

19.5

113

General Non-EU COE (Doctors whose qualifications do not entitle them to automatic recognition under the EU Directive, and who have undertaken an internship which the Council recognises to be the equivalent of an Irish internship)

45.5

4,201

General Non-EU HQ(Doctors whose qualifications do not entitle them to automatic recognition under the EU Directive, and who hold a higher qualification which is recognised by the Council for the purpose of granting an exemption)

25

510

General Non-EU PRES(Doctors whose qualifications do not entitle them to automatic recognition under the EU Directive must pass or be exempt from the pre-registration exam, the PRES, if applying for General registration)

19

400

Supervised(doctors who have been offered a post that has been approved by the HSE which has specific supervisory arrangements)

4-8

43

Restorals

6.5

n/a

Total

6,507

Roinn