S.I. No. 23/2022 - Public Service Pay and Pensions Act 2017 (Section 42) (Payments to General Practitioners) (Amendment) Regulations 2022

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 21st January, 2022.

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) Regulations 2022.

2. These Regulations shall be deemed to have come into operation on 1 January 2022.

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 ) and the Public Service Pay and Pensions Act 2017 (Section 42) (Payments to General Practitioners) (Amendment) (No. 2) Regulations 2020 ( S.I. No. 685 of 2020 )) are amended by the substitution of the following Schedules for Schedules 1, 2 and 8:

“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	€64.28
4.	Male patient aged 16 years or more and less than 45 years	€82.05
5.	Male patient aged 45 years or more and less than 65 years	€163.89
6.	Male patient aged 65 years or more and less than 70 years	€172.65
7.	Patient aged 70 years or more residing in the community	€403.31
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	€644.63
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	€65.02
12.	Female patient aged 16 years or more and less than 45 years	€134.18
13.	Female patient aged 45 years or more and less than 65 years	€180.09
14.	Female patient aged 65 years or more and less than 70 years	€192.61
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 18 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 18 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 18 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 18 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 18 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 18 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 65 years and over) meeting the chronic disease risk criteria as set out in the Agreement of 2019	€60.00
2.	Chronic Disease Prevention Programme – annual fee for assessment of patient (aged 65 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)
1.	Practice Nurse Grant per patient registered for the Chronic Disease Management Programme or the Modified Chronic Disease Management Programme	€28.75
2.	Practice Nurse Grant per patient registered for the Chronic Disease Prevention Programme	€14.35
3.	Practice Nurse Grant per patient assessed under the Chronic Disease Opportunistic Case Finding	€3.20

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)	€48.58
2.	Pilot GP (dispensing doctor)	€56.05
3.	Continuous GP (dispensing doctor)	€12.48

”.

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,

19 January, 2022.

MICHAEL MCGRATH,

Minister for Public Expenditure and Reform.

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GIVEN under my Official Seal,

20 January, 2022.

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.