S.I. No. 290/2019 - Public Service Pay And Pensions Act 2017 (Payments In Respect Of Certain Services Under The Health Act 1970) Regulations 2019


Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 2nd July, 2019.

I, SIMON HARRIS, 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 (Payments In Respect of Certain Services Under the Health Act 1970) Regulations 2019.

2. (1) These Regulations, other than Regulation 5(2) and Schedule 2, shall come into operation on 1 July 2019.

(2) Regulation 5(2) and Schedule 2 shall come into operation on 1 January 2020.

3. In these Regulations -

“Act of 1970” means the Health Act 1970 (No. 1 of 1970);

“Agreement of 2019” means the agreement dated 23 May 2019 between the Minister for Health, the Health Service Executive and the Irish Medical Organisation known as the General Practitioner Contractual Reform and Service Development Agreement;

“Capitation Agreement” means an agreement between the Health Service Executive and a service provider made in accordance with the conditions specified by the Minister for Health in 1989 regarding the provision of services to eligible persons under section 58 of the Act of 1970 by service providers, as amended from time to time;

“General Medical Services Scheme” has the meaning assigned to it by section 1 of the Health (Provision of General Practitioner Services) Act 2012 (No. 4 of 2012);

“Regulations of 2016” means the Health Professional (Variation of Payments to General Practitioners) Regulations 2016 ( S.I. No. 233 of 2016 );

“service” means a service specified in Schedules 1 and 2 rendered by a service provider under and in accordance with the Agreement of 2019;

“service provider” means a service provider who renders a service to or on behalf of the Health Service Executive under and in accordance with the Agreement of 2019.

4. These Regulations shall apply to payments in respect of a service rendered by a service provider to or on behalf of the Health Service Executive under and in accordance with the Agreement of 2019.

5. (1) The amount of the payments specified in column 3 of Schedule 1 opposite the mention of the services specified in column 2 of that Schedule shall be payable to a service provider from 1 July 2019 in respect of the services specified in that Schedule.

(2) The amount of the payments specified in column 3 of Schedule 2 opposite the mention of the services specified in column 2 of that Schedule shall be payable to a service provider from 1 January 2020 in respect of the services specified in that Schedule.

6. The amount of the payments to be made to a service provider in respect of a service specified in Schedule 1 rendered by the service provider is in addition to and not in substitution for payment made under Schedule 1 of the Regulations of 2016 to a service provider for the rendering of that service.

SCHEDULE 1

Services rendered by the service provider under the Agreement of 2019 - Capitation Agreement - General Medical Services Scheme

Reference Number

Description

Amount

(1)

(2)

(3)

1.

Male patient aged 6 years or more and less than 16 years

€8.67

2.

Male patient aged 16 years or more and less than 45 years

€11.07

3.

Male patient aged 45 years or more and less than 65 years

€22.11

4.

Male patient aged 65 years or more and less than 70 years

€23.29

5.

Patient aged 70 years or more residing in the community

€54.40

6.

Patient aged 70 years or more residing in a private nursing home (approved by the Health Service Executive) for continuous periods in excess of 5 weeks

€86.95

7.

Female patient aged 6 years or more and less than 16 years

€8.77

8.

Female patient aged 16 years or more and less than 45 years

€18.10

9.

Female patient aged 45 years or more and less than 65 years

€24.29

10.

Female patient aged 65 years or more and less than 70 years

€25.98

SCHEDULE 2

Services rendered by the service provider under the Agreement of 2019 - General Medical Services Scheme - Capitation Agreement - payments to a service provider in respect of special items of service

Reference Number

Description

Amount

(1)

(2)

(3)

1.

Service provider participation in a Health Service Executive Virtual Heart Failure Clinic facilitated by Consultant Cardiologist

€100

2.

Provision of therapeutic phlebotomy for patients with haemochromatosis

€100

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,

26 June 2019.

PASCHAL DONOHOE

Minister for Public Expenditure and Reform.

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GIVEN under my Official Seal,

26 June 2019.

SIMON HARRIS

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 General Practitioner Contractual Reform and Service Development Agreement of 2019.