Dáil Éireann Debate, Tuesday - 18 November 2025
1112. Deputy Paul Lawless asked the Minister for Health the supports being provided to GP practices to manage increased patient demand arising from population growth and inward migration; and if she will make a statement on the matter. [63669/25]
Amharc ar fhreagra1113. Deputy Paul Lawless asked the Minister for Health the measures planned to ensure that local residents are not left without access to a GP when practices reach capacity and are unable to take on new patients; and if she will make a statement on the matter. [63670/25]
Amharc ar fhreagra1115. Deputy Paul Lawless asked the Minister for Health the steps being taken to expand GP capacity nationally, and specifically in County Mayo, to ensure equitable access for all patients regardless of background or medical card status; and if she will make a statement on the matter. [63672/25]
Amharc ar fhreagraI propose to take Questions Nos. 1112, 1113 and 1115 together.
GPs are self-employed practitioners and therefore may establish practices at a place of their own choosing. The State does not regulate the number of GPs that can set up in a town or community. 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.
Where a person that holds a medical card or GP visit card experiences difficulty in finding a GP to accept them as a patient, the person concerned having unsuccessfully applied to at least three GPs in the area (or fewer if there are fewer GPs locally) can apply to the HSE Eligibility Unit which has the power to assign a GMS patient to a GP's GMS patient list in accordance with the GMS contract.
Work is ongoing to increase the number of GPs practicing in the State and thereby improve access to GP services for all patients across the country. In addition, under the GMS scheme, specific supports are available to GP practices to support general practice capacity.
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 increased GP capitation fees, increased and new supports for practices, as well as new fees for additional services. The 2023 Agreement also provided for the expansion of GP visit card eligibility in 2023 to all children under 8 years of age and all those who earn up to the median household income.
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 Agreement increased the 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. The Agreement also introduced a €2 million per annum support for GP practices in disadvantaged urban areas. The funding may be used for additional health personnel costs or for the provision of additional services.
The 2023 Agreement increased the subsidy amounts paid towards the cost of employing practice staff. The Agreement also added General Practice Assistant to the staff subsidies available, and introduced a new support grant for additional staff capacity of up to €15,000, as well as a staff support for the taking of maternity leave.
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 next year by 50 places to 400. As a result, the number of GP graduates has increased in recent years and will continue to increase in the coming years.
In addition, recruitment of GPs from abroad is ongoing under the International Medical Graduate (IMG) Rural GP Programme. As of end of Q3, there are 115 IMG GPs within the programme currently placed in general practice and a further 39 have completed the 2-year programme. The placement of IMG GPs is targeted to rural and underserved areas.
Lastly, it is worth noting that 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. 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.
