General Practitioners
It has been decided to reduce GPs fees by 7.5%. Rather than an across the board cut of 7.5%, a strategic approach is being taken as follows:
Reduce the 3:1 weighting for patients over 70 years.
When the State originally provided medical cards to persons over 70 automatically, it was agreed that each 70 year old on a GPs list would count as the equivalent of 3 patients for the purposes of calculating State funding towards practice support subsidies.
The new change will require this to change to a weighting of 2:1.
Remove the special fee negotiated in 2001
When the State provided medical cards automatically to persons over 70, GPs negotiated a special payment to compensate for the loss of private patient income. In 2009 the automatic right for all persons over 70 was removed. It is now intended to remove the associated special fee paid to doctors.
Reduce the payment for the flu vaccine provided by doctors
The State pays pharmacists €15 for providing the flu vaccine. It is intended to bring the GP payment into line with pharmacists. The reduction is from €28.50 to €15.
Other fee reductions
In order to bring the overall reduction to 7.5%, the capitation and other superannuable fees will be reduced by 3.1%. There will also be some reductions in non superannuable fees.
These reductions will save an estimated €38 million in a full year.