We use Google Analytics to see which pages are read and how the site is used, so we know what to improve. This only runs if you accept. See our privacy notice for details.

Dáil
‹ An tOrd Gnó - Order of Business

GP service reform review

Summary

Deputy Rice criticised delays in GP reform, rising fees and overstretched practices, and called for a comprehensive plan. The Taoiseach said access has expanded, primary care centres have transformed services, and the strategic review would be published before summer.

Successive Fianna Fáil and Fine Gael Governments have been talking about reforming GP services for years but have failed to deliver. The Government's strategic review of GP services, first promised in 2019, still has not been completed. During that time GP fees have risen to as high as €90 in some areas, and that is just to get in the door. Price, however, is not the only barrier. An increasing number of GP practices are oversubscribed and understaffed. We know there are no quick fixes. That is why the Social Democrats are proposing a comprehensive 20-point plan, which will be debated in the Dáil tomorrow. The proposals include GPs directly employed by the HSE, because not every GP wants to be a small business owner; a new DEIS-for-GPs scheme, in recognition of the higher health needs of patients in deprived areas; implementing the programme for Government commitment to expand GP care to under-12s; and, crucially, setting out a clear timeline for delivering universal GP care to everybody by 2030. These proposals are not radical; they are the European norm. Will the Government do more than talk about reform of GP services? Will it deliver it, and will it start by supporting our 20-point plan to transform GP services?

Comment on this

I do not accept the premise of the Deputy's argument insofar as we have been expanding access to GP care year after year over the past number of years, particularly over the past five to six years, and before then, in terms of access for children, access for those on median incomes and so forth. There has been expansion.

Comment on this

Also, probably one of the biggest transformations in the past two decades has been the move to primary care centres, which did take some time in the late 2000s to get going. They had been earmarked in an earlier strategy in 2001 but we have now invested very significantly in those primary care centres. The strategic review will be published, I understand, before this summer. It will outline further the policy framework and the direction of travel in respect of GP care, as regards both recruitment and directly publicly recruited GPs, as well as an expansion of access to GPs.

Comment on this