Last week, a revolutionary report commissioned by the Clare Public Participation Network towards an anti-poverty strategy for Clare was commended by this House and by the Minister, standing where the Tánaiste is now. Among many other findings was one that as of July 2022, there were 52 GPs in Clare who were part of the General Medical Services scheme. As this works out at roughly four GPs per 10,000 of population, Clare is 25 GPs below the national average. The programme for Government committed to strengthening general practice and emphasised sustaining rural practice. In this respect, why did the Government not increase the allowance and modify the allowance of the rural practice support framework in its budget? What will it do instead to encourage rural general practice? While I welcome the strides made this week on GP visit cards, they are meaningless if they cannot be used in many parts of rural Ireland.

There is a disparity and an inequality when it comes to where GPs are concentrated. More of them are in urban areas than in rural areas and more of them are in better-off areas than in less well-off areas. That has been the case, unfortunately, for a very long time.

We have increased the rural practice grant and we have also provided dedicated funding for GPs who operate in disadvantaged urban communities, and that was only done in the last couple of years under the previous Government. I agree that we need to see what we can do to encourage more GPs to operate in rural areas. In the modern world, many do not want to operate single-handedly, and I understand that. GPs now want to work in teams and groups; that is the way the world has moved and we need to acknowledge that. We also need to make sure that out-of-hours services are adequately resourced in order that people are not on call too frequently, which inevitably wears them out over the years.

Given the Government's announcement in regard to a further extension of GP care without fees, there is an opportunity now to have an engagement with the Irish Medical Organisation and to look at some of these things in the round as to how we can make general practice more economically viable and more sustainable, and provide better services to people. I would point out that the number of GPs being trained has increased dramatically over the years. It was 120 not that long ago and under the Minister, Deputy Harris, it increased to maybe 250. The plans are now to go up to 350, which is the level we need to be at.