S.I. No. 685/2020 - Public Service Pay and Pensions Act 2017 (Section 42) (Payments to General Practitioners) (Amendment) (No. 2) Regulations 2020

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 5th January, 2021.

I, STEPHEN DONNELLY, Minister for Health, in exercise of the powers conferred on me by section 42 of the Public Service Pay and Pensions Act 2017 (No. 34 of 2017), being satisfied that subsection (6) of that section has been complied with; having complied with subsection (9) of that section; having had regard to the matters specified in paragraphs (a) to (e) of subsection (10) of that section, with the consent of the Minister for Public Expenditure and Reform, hereby make the following regulations:

1. These Regulations may be cited as the Public Service Pay and Pensions Act 2017 (Section 42) (Payments to General Practitioners) (Amendment) (No. 2) Regulations 2020.

2. These Regulations shall come into operation on 1 January 2021.

3. The Public Service Pay and Pensions Act 2017 (Section 42) (Payments to General Practitioners) Regulations 2019 ( S.I. No. 692 of 2019 ) (as amended by the Public Service Pay and Pensions Act 2017 (Section 42) (Payments to General Practitioners) (Amendment) Regulations 2020 ( S.I. No. 311 of 2020 )) are amended by the substitution of the following Schedules for Schedules 1, 2, 3, 8, 11, 22 and 34:

“SCHEDULE 1

Services rendered under the General Medical Services Scheme - Agreement of 2019 – general practitioner capitation rates (all amounts inclusive of former payments towards practice maintenance, equipment and development and former payments in respect of discretionary medical cards)
Reference Number (1)	Description (2)	Amount (Total) (3)
1.	Male patient aged under 5 years – where GP does not hold an under 6 contract	€74.59
2.	Male patient aged 5 years - where GP does not hold an under 6 contract	€43.29
3.	Male patient aged 6 years or more and less than 16 years	€58.84
4.	Male patient aged 16 years or more and less than 45 years	€75.11
5.	Male patient aged 45 years or more and less than 65 years	€150.02
6.	Male patient aged 65 years or more and less than 70 years	€158.04
7.	Patient aged 70 years or more residing in the community	€369.18
8.	Patient aged 70 years or more residing in a private nursing home (approved by the HSE) for continuous periods in excess of 5 weeks	€590.08
9.	Female patient aged under 5 years – where GP does not hold an under 6 contract	€72.76
10.	Female patient aged 5 years – where GP does not hold an under 6 contract	€43.79
11.	Female patient aged 6 years or more and less than 16 years	€59.52
12.	Female patient aged 16 years or more and less than 45 years	€122.83
13.	Female patient aged 45 years or more and less than 65 years	€164.85
14.	Female patient aged 65 years or more and less than 70 years	€176.31
15.	Supplementary out of hours fee	€3.64

SCHEDULE 2

PART A Services rendered under the General Medical Services Scheme - Agreement of 2019 – payments in respect of delivery of Chronic Disease Management Programme
Reference Number (1)	Description (2)	Amount (3)
1.	Annual fee payable in respect of eligible patient (aged 65 years and over) with one of the chronic conditions listed in the Agreement of 2019	€210.00
2.	Annual fee payable in respect of eligible patient (aged 65 years and over) with two of the chronic conditions listed in the Agreement of 2019	€250.00
3.	Annual fee payable in respect of eligible patient (aged 65 years and over) with three or more of the chronic conditions listed in the Agreement of 2019	€300.00

PART B Services rendered under the General Medical Services Scheme - Agreement of 2019 – payments in respect of delivery of Modified Chronic Disease Management Programme
Reference Number (1)	Description (2)	Amount (3)
1.	Fee for remote review consultation of an eligible patient (aged 65 years and over) with one of the chronic conditions listed in the Agreement of 2019	€55.00
2.	Fee for remote review consultation of an eligible patient (aged 65 years and over) with two of the chronic conditions listed in the Agreement of 2019	€65.00
3.	Fee for remote review consultation of an eligible patient (aged 65 years and over) with three or more of the chronic conditions listed in the Agreement of 2019	€75.00

PART C Services rendered under the General Medical Services Scheme - Agreement of 2019 – payments in respect of delivery of Chronic Disease Management Programme
Reference Number (1)	Description (2)	Amount (3)
1.	Opportunistic Case Finding Programme – fee for assessment of patient (aged 75 years and over) meeting the chronic disease risk criteria as set out in the Agreement of 2019	€60.00
2.	Chronic Disease Preventive Treatment Programme – annual fee for assessment of patient (aged 75 years and over) identified with high-risk of cardiovascular disease or diabetes as set out in the Agreement of 2019	€82.00

PART D

Services rendered under the General Medical Services Scheme - Agreement of 2019 –

Practice Nurse Grant

Reference Number (1)

Description (2)

Amount (3)

Practice Nurse Grant per patient registered for Chronic Disease Management Programme or Modified Chronic Disease Management Programme

€28.75

SCHEDULE 3

Services rendered under the General Medical Services Scheme - Agreement of 2019 – payments in respect of delivery of Diabetes Cycle of Care Programme
Reference Number (1)	Description (2)	Amount (3)
1.	Once-off registration fee per patient with Type 2 Diabetes aged 18 years or more and less than 65 years registered on the Diabetes Cycle of Care Programme	€30.00
2.	Annual capitation fee per patient with Type 2 Diabetes aged 18 years or more and less than 65 years registered on the Diabetes Cycle of Care Programme	€100.00

SCHEDULE 8

Services rendered under the General Medical Services Scheme - Agreement of 2019 — fees payable to a general practitioner (GP) for dispensing in accordance with Circular titled “Certain Matters Relating to the Provision of Services Under Section 58 of the Health Act 1970 ” dated 24 September 1999
Reference Number (1)	Description (2)	Amount (3)
1.	Opt-in GP (dispensing doctor)	€43.12
2.	Pilot GP (dispensing doctor)	€49.74
3.	Continuous GP (dispensing doctor)	€12.48

SCHEDULE 11

Services rendered under the General Medical Services Scheme - Agreement of 2019 - maximum allowances payable in respect of locum expenses
Reference Number (1)	Description (2)	Amount (3)
1.	Annual leave (per day)	€197.24
2.	Annual leave (per week)	€1,380.65
3.	Sick leave (per day) during the first week	€197.24
4.	Sick leave (per week) for the first week	€986.18
5.	Sick leave (per day) from week 2 to week 13	€197.24
6.	Sick leave (per week) from week 2 to week 13	€1,380.65
7.	Sick leave (per day) from week 14 to week 26	€98.62
8.	Sick leave (per week) from week 14 to week 26	€690.33
9.	Study leave (per day)	€197.24
10.	Study leave (per week)	€1,380.65
11.	Maternity leave (per day)	€394.48
12.	Maternity leave (per week)	€2,761.30
13.	Paternity leave (per day)	€394.48
14.	Paternity leave (per week)	€2,761.30
15.	Adoptive leave (per day)	€394.48
16.	Adoptive leave (per week)	€2,761.30
17.	Annual leave – former District Medical Officer: (a) maximum rate – payable for each of the first 3 days annual leave in a year (b) medium rate – payable for each of the next 25 days annual leave day in that year (c) minimum rate – payable for each other annual leave day in that year	€66.47 €56.86 €48.92
18.	Statutory leave - meetings of statutory bodies (per day)	€197.24
19.	Attendance at Irish Medical Organisation GP meetings (per day)	€197.24

SCHEDULE 22

Services rendered under the General Medical Services Scheme — Capitation Agreement—maximum allowances payable in respect of locum expenses
Reference Number (1)	Description (2)	Amount (3)
1.	Annual leave (per day)	€197.24
2.	Annual leave (per week)	€1,380.65
3.	Sick leave (per day) during the first week	€197.24
4.	Sick leave (per week) for the first week	€986.18
5.	Sick leave (per day) from week 2 to week 13	€197.24
6.	Sick leave (per week) from week 2 to week 13	€1,380.65
7.	Sick leave (per day) from week 14 to week 26	€98.62
8.	Sick leave (per week) from week 14 to week 26	€690.33
9.	Study leave (per day)	€197.24
10.	Study leave (per week)	€1,380.65
11.	Maternity leave (per day)	€197.24
12.	Maternity leave (per week)	€1,380.65
13.	Paternity leave (per day)	€197.24
14.	Adoptive leave (per day)	€197.24
15.	Adoptive leave (per week)	€1,380.65
16.	Annual leave – former District Medical Officer: (a) maximum rate – payable for each of the first 3 days annual leave in a year (b) medium rate – payable for each of the next 25 days annual leave day in that year (c) minimum rate – payable for each other annual leave day in that year	€66.47 €56.86 48.92
17.	Statutory leave - meetings of statutory bodies (per day)	€197.24
18.	Attendance at Irish Medical Organisation and National Association of General Practitioners GP meetings (per day)	€197.24

SCHEDULE 34

Services rendered under other National Immunisation Programmes
Reference Number (1)	Description (2)	Amount (3)
1.	Amount payable to a general practitioner for administering to an individual a vaccine in situations of disease outbreak in a specific area in the State	€28.50
2.	Amount payable to a general practitioner for administering to an individual a vaccine during a pandemic	€10.00
3.	Amount payable to a general practitioner under the General Medical Services Scheme for administering a full course of vaccines against Hepatitis B, including post-vaccination testing where necessary, to an individual in an at-risk category	€142.57
4.	Amount payable to a general practitioner for administering a PPV vaccine to an individual in an at-risk category under the General Medical Services Scheme provided that the vaccine which is administered is not administered by the general practitioner (or by another general practitioner in the same practice) on the same day as an influenza vaccine	€28.50
5.	Amount payable to a general practitioner for administering an influenza vaccine to an individual in an at-risk category, provided that the vaccine which is administered is not administered by the general practitioner (or by another general practitioner in the same practice) on the same day as a PPV vaccine	€15.00
6.	Additional amount payable to a general practitioner for every ten individuals in an at-risk category to whom that general practitioner has administered an influenza vaccine, provided that the vaccines which were administered were not administered by the general practitioner (or by another general practitioner in the same practice) on the same day as a PPV vaccine	€100.00
7.	Amount payable to a general practitioner for administering an influenza vaccine to an individual in an at-risk category – (a) a PPV, and (b) an influenza vaccine, under the General Medical Services Scheme where both vaccines are administered on the same day by the general practitioner or by the general practitioner concerned and another general practitioner in the same practice	€42.75
8.	Amount payable to a general practitioner for administering a Live Attenuated Influenza Vaccine (LAIV) to a child aged 2 years or more and less than 18 years, provided that the vaccine which is administered is not administered by the general practitioner (or by another general practitioner in the same practice) on the same day as a PPV vaccine	€20.00
9.	Additional amount payable to a general practitioner for every ten children aged 2 years or more and less than 18 years to whom that general practitioner has administered a Live Attenuated Influenza Vaccine (LAIV), provided that the vaccines which were administered were not administered by the general practitioner (or by another general practitioner in the same practice) on the same day as a PPV vaccine	€150.00

”.

The Minister for Public Expenditure and Reform consents to the foregoing Regulations.

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GIVEN under the Official Seal of the Minister for Public Expenditure and Reform,

22 December, 2020.

MICHAEL MCGRATH,

Minister for Public Expenditure and Reform.

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GIVEN under my Official Seal,

23 December, 2020.

STEPHEN DONNELLY,

Minister for Health.

EXPLANATORY NOTE

(This note is not part of the Instrument and does not purport to be a legal interpretation)

These Regulations shall apply to payments in respect of services rendered by a general practitioner to or on behalf of the Health Service Executive under and in accordance with the terms of the General Medical Services Scheme and the National Immunisation Programmes.