S.I. No. 278/2013 - Health Professionals (Reduction of Payments to General Practitioners) (National Immunisation Programmes) Regulations 2013.


Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 26th July, 2013.

I, JAMES REILLY, Minister for Health, in exercise of the powers conferred on me by section 9 of the Financial Emergency Measures in the Public Interest Act 2009 (No. 5 of 2009) (as adapted by the Health and Children (Alteration of Name of Department and Title of Minister) Order 2011 ( S.I. No. 219 of 2011 ), having complied with subsections (4), (7) and (13) 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 Health Professionals (Reduction of Payments to General Practitioners) (National Immunisation Programmes) Regulations 2013.

2. In these Regulations—

“6 in 1 vaccine” means a vaccine against Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b, Poliomyelitis and Hepatitis B;

“4 in 1 vaccine” means a booster vaccine against Diphtheria, Tetanus, Pertussis and Poliomyelitis;

“influenza vaccine” means a vaccine against seasonal influenza;

“Hib booster” means an additional dose of the vaccine against Haemophilus influenzae type b;

“Men C vaccine” means a vaccine against Meningococcal group C bacteria;

“MMR vaccine” means a vaccine against Measles, Mumps and Rubella;

“PCV” means the Pneumococcal Conjugate Vaccine;

“PPV” means the Pneumococcal Polysaccharide Vaccine;

“registered child”, in relation to a general practitioner, means a child to whom that general practitioner has been assigned for the purposes of the administration of vaccines under the Primary Childhood Immunisation Programme;

“set of vaccines”, in relation to a particular age or particular ages referred to under the Primary Childhood Immunisation Programme, means the specific vaccine or vaccines which are scheduled to be administered to a child at that age or those ages, as the case may be.

3. 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 certain national immunisation programmes, including the Primary Childhood Immunisation Programme.

4. The payments that shall be made to a general practitioner in respect of the services referred to in Regulation 3 from the date of the making of these Regulations shall be those specified in Schedules 1 and 2.

5. The Health Professionals (Reduction of Payments to General Practitioners) (National Immunisation Programmes) Regulations 2011 ( S.I. No. 556 of 2011 ) are revoked.

SCHEDULE 1

Services rendered under the Primary Childhood Immunisation Programme

Part AAmounts payable to a general practitioner in respect of the administration of vaccines to a registered child under the Primary Childhood Immunisation Programme

Reference Number (1)

Service (2)

Amount (3)

1.

Once-off amount payable to a general practitioner in respect of a registered child.

€37.78

2.

Amount payable to a general practitioner for administering to a registered child all of the following vaccines:

(a) 6 in 1 vaccine scheduled to be administered at 2 months of age;(b) 6 in 1 vaccine scheduled to be administered at 4 months of age;

(c) 6 in 1 vaccine scheduled to be administered at 6 months of age;

(d) Men C vaccine scheduled to be administered at 4 months of age;(e) Men C vaccine scheduled to be administered at 6 months of age;

(f) MMR vaccine scheduled to be administered at 12 months of age;

(g) Men C vaccine scheduled to be administered at 13 months of age.

€125.87

3.

Once-off bonus amount payable to a general practitioner in respect of a registered child who has reached his or her second birthday in a particular year where the general practitioner concerned has administered all of the following vaccines under the Primary Childhood Immunisation Programme to that registered child and to at least 95 per cent of the registered children of that general practitioner who have reached their second birthday in that year:

(a) 6 in 1 vaccine scheduled to be administered at 2 months of age;

(b) 6 in 1 vaccine scheduled to be administered at 4 months of age;

(c) 6 in 1 vaccine scheduled to be administered at 6 months of age;

(d) MMR vaccine scheduled to be administered at 12 months of age.

€60.63

4.

Amount payable to a general practitioner for administering to a registered child under the Primary Childhood Immunisation Programme, after the child has reached 12 months of age, a Hib booster scheduled to be administered at 13 months of age, provided that one or more of the 6 in 1 vaccines that were scheduled to be administered to the registered child at 2, 4 and 6 months of age was not administered to that registered child after he or she reached 12 months of age.

€18.82

5.

Amount payable to a general practitioner per PCV up to a maximum of 3 PCVs administered to a registered child under the Primary Childhood Immunisation Programme provided that the amount payable for administering the third PCV is payable only where the PCV concerned is administered to the registered child on or after the day on which he or she reaches 12 months of age and before the day on which he or she reaches 24 months of age.

€18.82

Part B Amounts payable to a general practitioner in respect of the administration of vaccines to a registered child under the Primary Childhood Immunisation Programme where the general practitioner does not administer all of the vaccines under that Programme to that child

Reference Number(1)

Service(2)

Amount(3)

1.

Amount payable to a general practitioner for administering to a registered child a 6 in 1 vaccine scheduled to be administered at 2 months of age where another general practitioner administers to the child concerned other vaccines scheduled to be administered to that child under the Primary Childhood Immunisation Programme after 2 months of age.

€18.27

2.

Amount payable to a general practitioner for administering to a registered child all of the following vaccines where another general practitioner administers to the child concerned other vaccines scheduled to be administered to that child under the Primary Childhood Immunisation Programme after 4 months of age:

(a) 6 in 1 vaccine scheduled to be administered at 2 months of age;

(b) 6 in 1 vaccine scheduled to be administered at 4 months of age;

(c) Men C vaccine scheduled to be administered at 4 months of age.

€74.37

3.

Amount payable to a general practitioner for administering to a registered child all of the following vaccines where another general practitioner administers to the child concerned other vaccines scheduled to be administered to that child under the Primary Childhood Immunisation Programme after 6 months of age:

(a) 6 in 1 vaccine scheduled to be administered at 2 months of age;

(b) 6 in 1 vaccine scheduled to be administered at 4 months of age;

(c) 6 in 1 vaccine scheduled to be administered at 6 months of age;

(d) Men C vaccine scheduled to be administered at 4 months of age;

(e) Men C vaccine scheduled to be administered at 6 months of age.

€125.86

4.

Amount payable to a general practitioner for administering to a registered child all of the following vaccines where another general practitioner administers to the child concerned other vaccines scheduled to be administered to that child under the Primary Childhood Immunisation Programme after 12 months of age:

(a) 6 in 1 vaccine scheduled to be administered at 2 months of age;

(b) 6 in 1 vaccine scheduled to be administered at 4 months of age;

(c) 6 in 1 vaccine scheduled to be administered at 6 months of age;

(d) Men C vaccine scheduled to be administered at 4 months of age;

(e) Men C vaccine scheduled to be administered at 6 months of age;

(f) MMR vaccine scheduled to be administered at 12 months of age.

€125.86

Part C Amounts payable to a general practitioner in respect of the administration of vaccines to a child who is not a registered child in respect of the general practitioner under the Primary Childhood Immunisation Programme where that general practitioner does not administer all of the vaccines under that Programme to that child

Reference Number(1)

Service(2)

Amount(3)

1.

Amount payable to a general practitioner for administering to a child any of the following sets of vaccines where the child concerned, although a registered child in respect of another general practitioner, has not received any vaccines under the Primary Childhood Immunisation Programme from the general practitioner in respect of whom the child is a registered child, provided that the general practitioner administers the vaccine scheduled to be administered to that child under the Programme and referred to in paragraph (a):

(a) 6 in 1 vaccine scheduled to be administered at 2 months of age;

(b) 6 in 1 vaccine and Men C vaccine scheduled to be administered at 4 months of age;

(c) 6 in 1 vaccine and Men C vaccine scheduled to be administered at 6 months of age;

(d) MMR vaccine scheduled to be administered at 12 months of age and Men C vaccine scheduled to be administered at 13 months of age.

€46.62

2.

Amount payable to a general practitioner for administering to a child any of the following sets of vaccines where the child concerned is a registered child in respect of another general practitioner, and has received all vaccines under the Primary Childhood Immunisation Programme from another general practitioner (whether or not the general practitioner in respect of whom the child is a registered child), provided that the general practitioner administers the set of vaccines scheduled to be administered to that child under the Programme and referred to in paragraph (a):

(a) 6 in 1 vaccine and Men C vaccine scheduled to be administered at 4 months of age;

(b) 6 in 1 vaccine and Men C vaccine scheduled to be administered at 6 months of age;

(c) MMR vaccine scheduled to be administered at 12 months of age and Men C vaccine scheduled to be administered at 13 months of age.

€56.07

3.

Amount payable to a general practitioner for administering to a child either of the following sets of vaccines where the child concerned is a registered child in respect of another general practitioner and has received vaccines scheduled to be administered at 2 and 4 months of age under the Primary Childhood Immunisation Programme from another general practitioner (whether or not the general practitioner in respect of whom the child is a registered child), provided that the general practitioner administers the set of vaccines scheduled to be administered to that child under the Programme and referred to in paragraph (a):

(a) 6 in 1 vaccine and Men C vaccine scheduled to be administered at 6 months of age;

(b) MMR vaccine scheduled to be administered at 12 months of age and Men C vaccine scheduled to be administered at 13 months of age.

€56.07

4.

Amount payable to a general practitioner for administering to a child both an MMR vaccine scheduled to be administered at 12 months of age, and a Men C vaccine scheduled to be administered at 13 months of age, under the Primary Childhood Immunisation Programme where the child concerned is a registered child in respect of another general practitioner and has received vaccines scheduled to be administered at 2, 4 and 6 months of age under the Primary Childhood Immunisation Programme from another general practitioner (whether or not the general practitioner in respect of whom the child is a registered child).

€60.63

5.

Amount payable to a general practitioner for administering to a child a Hib booster scheduled to be administered at 13 months of age under the Primary Childhood Immunisation Programme where the child concerned is not a registered child in respect of the general practitioner but is a registered child in respect of another general practitioner and provided that one or more of the 6 in 1 vaccines that were scheduled to be administered to the registered child at 2, 4 and 6 months of age was not administered to that registered child after he or she reached 12 months of age.

€18.82

6.

Amount payable to a general practitioner per PCV up to a maximum of 3 PCVs administered to a child under the Primary Childhood Immunisation Programme where the child concerned is not a registered child in respect of the general practitioner and provided that the amount payable for administering the third PCV is payable only where the PCV concerned is administered to the child on or after the day on which he or she reaches 12 months of age and before the day on which he or she reaches 24 months of age.

€18.82

Part DAmounts payable to a general practitioner in respect of the administration of vaccines to a registered child under the Primary Childhood Immunisation Programme where no other vaccines are administered to that child under that Programme by any other general practitioner

Reference Number (1)

Service (2)

Amount (3)

1.

Amount payable to a general practitioner for administering to a registered child a 6 in 1 vaccine scheduled to be administered at 2 months of age under the Primary Childhood Immunisation Programme, where no vaccines scheduled to be administered after 2 months of age under that Programme are administered, by the general practitioner concerned or any other general practitioner, to the registered child concerned.

€3.15

2.

Amount payable to a general practitioner for administering to a registered child both of the following vaccines, where no vaccines scheduled to be administered after 4 months of age under the Primary Childhood Immunisation Programme are administered to the registered child concerned by the general practitioner concerned or any other general practitioner under the Primary Childhood Immunisation Programme:

(a) 6 in 1 vaccine scheduled to be administered at 4 months of age;

(b) Men C vaccine scheduled to be administered at 4 months of age.

€44.07

3.

Amount payable to a general practitioner for administering to a registered child all of the following vaccines, where no vaccines scheduled to be administered after 4 months of age under the Primary Childhood Immunisation Programme are administered, by the general practitioner concerned or any other general practitioner, to the registered child concerned: (a) 6 in 1 vaccine scheduled to be administered at 2 months of age;(b) 6 in 1 vaccine scheduled to be administered at 4 months of age;(c) Men C vaccine scheduled to be administered at 4 months of age.

€47.22

Part EAmounts payable to a general practitioner in respect of opportunistic screening and administration of one set of vaccines to a child under the Primary Childhood Immunisation Programme

Service (1)

Amount (2)

Amount payable to a general practitioner for administering to an individual any one of the following sets of vaccines where the individual is not a registered child in relation to any general practitioner provided that the set of vaccines concerned is administered to the individual on the same day by the general practitioner (or by the general practitioner concerned and another general practitioner in the same practice) and that the general practitioner or general practitioners concerned do not administer any of the other sets of vaccines to the individual concerned:

(a) 6 in 1 vaccine scheduled to be administered at 2 months of age;

(b) 6 in 1 vaccine and Men C vaccine scheduled to be administered at 4 months of age;

(c) 6 in 1 vaccine and Men C vaccine scheduled to be administered at 6 months of age;

(d) MMR vaccine scheduled to be administered at 12 months of age;

(e) Men C vaccine scheduled to be administered at 13 months of age;

(f) MMR vaccine scheduled to be administered at 12 months of age and Men C vaccine scheduled to be administered at 13 months of age.

€40.90

Part FAmounts payable to a general practitioner in respect of the administration of a 4 in 1 vaccine or an MMR vaccine or both scheduled to be administered under the Primary Childhood Immunisation Programme to a child who is more than 4 years of age where the general practitioner has been informed that it is not possible for the vaccine or vaccines concerned to be administered by the Health Service Executive in a school setting

Reference Number (1)

Service (2)

Amount (3)

1.

Amount payable to a general practitioner for administering to a child either—

(a) a 4 in 1 vaccine, or

(b) an MMR vaccine,where the child is more than 4 years of age 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 the other vaccine.

€36.03

2.

Amount payable to a general practitioner for administering to a child—

(a) a 4 in 1 vaccine, and

(b) an MMR vaccine,where the child is more than 4 years of age and 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.

€54.04

SCHEDULE 2

Services rendered under other national immunisation programmes

Reference Number (1)

Service (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 to an individual in an at-risk category a PPV under the General Medical Services Scheme provided that the PPV 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 to an individual in an at-risk category an influenza vaccine under the General Medical Services Scheme provided that the influenza vaccine is not administered by the general practitioner (or by another general practitioner in the same practice) on the same day as a PPV.

€15.00

6.

Amount payable to a general practitioner for administering 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

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

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GIVEN under my Official Seal,

24 July 2013.

BRENDAN HOWLIN,

Minister for Public Expenditure and Reform.

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GIVEN under my Official Seal,

24 July 2013.

JAMES REILLY,

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 made to General Practitioners in respect of services rendered under National Immunisation Programmes.