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The Health (Provision of General Practitioner Services) Bill
2011 aims to change the rules governing medical card lists and
instead, encourage young General Practitioners (GPs) to remain in
Ireland and establish their practices here. The Bill intends to
abolish restrictions on GPs obtaining contracts to treat public
patients under the General Medical Services (GMS) Scheme. Under the
new Bill, any suitably qualified and vocationally trained GP will
be entitled to enter into a contract with the HSE for the provision
of services to GMS patients. The HSE will no longer be limited to
granting such contracts in cases where a GMS contract holder has
died, retired or resigned, or where the contract has otherwise been
terminated. Pursuant to the Bill, GPs currently holding a GMS
contract, on foot of the 2009 interim entry provisions, will also
be entitled to accept any patient on to their list, who has
nominated them as their doctor of choice. This is subject to any
existing rules relating to panel size. Any GP contract holder who
wishes to change their place of practice, will only be entitled to
do so with the prior approval of the HSE. Furthermore, when
creating or filling a GP position in future, the HSE will not be
entitled to take into account the short or long term economic
viability of that or of other GP practices in the area. It remains
to be seen whether the new Bill will enhance competition and reduce
the huge number of young GPs emigrating.
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