You can use your existing Medical Independent, MediLearning or PharmacistCPD account to log in. is Ireland's only investigative medical news website for doctors, healthcare professionals and anyone with an interest in health issues.

Established in 2010, along with its sister publication The Medical Independent, our stated aim is to investigate and analyse the major issues affecting healthcare and the medical profession in Ireland. The Medical Independent has won a number of awards for its investigative journalism, and its stories are frequently picked up by national digital, broadcast and print media. The Medical Independent is published by GreenCross Publishing.

Address: Top Floor, 111 Rathmines Road Lr, Dublin 6

Tel: 353 (01) 441 0024

GreenCross Publishing is owned by Graham Cooke.

The benefits of registering: only registered users:
  • receive the ecCopy two days prior to the printed edition.
  • have automatic access to our free CPD sites.
  • can partake in our online MCQs.
  • can enter our online sports quiz.

Sign up now for ease of access to The Medical Independent, Ireland’s most frequently published medical newspaper, delivering award-winning news and investigative reporting.

Download the new Mindo app for both IOS & Android.

  • Get notified when a story goes live
  • Access Premium Content
  • Read Offline
[the_ad_placement id="main-ldb-public"]
[the_ad_placement id="main-ldb-mobile-public"]

You are reading 1 of 2 free-access articles allowed for 30 days

New FEMPI reversal package could reach €132 million

By Dermot - 04th Apr 2019 | 5 views

A new deal between GPs and the Department of Health to be announced shortly will include a €132 million FEMPI repayment package, the Medical Independent (MI) has learned.

The total value of the reversal is €120 million but this increases to €132 million when superannuation fund payments are taken into account, a GP source informed MI.

The agreement between the IMO and Department of Health has yet to be finalised, but an announcement is expected next week regarding the deal, which covers FEMPI, new work changes and chronic disease care.

Crucially, the accord is not expected to include the provision of care to the under 12s, discussions around which are to take place separately.

MI understands that €25 million is to be repaid in July 2019 as part of the FEMPI package. Another €35 million will be repaid from January 2020, bringing to €60 million total repayments at this point.   Full restoration of the remaining €60 million in monthly payments will commence from January 2022, bringing the total to €120 million.

The money will appear in GPs’ monthly payments based on increased capitation, it is understood.

The FEMPI package includes a number of proposed work changes, some of which are already being undertaken by GPs, such as e-referral activity.

Other measures proposed include a one-hour long monthly meeting between a GP and public health nurse to discuss patients, and the introduction by the HSE of 25 pharmacists nationally to review GP prescriptions.

The pharmacists will provide advice and feedback to GPs on prescriptions and spot potentially inappropriate prescribing. GPs will have the option whether or not they wish to act upon any advice given.

A summary care record and a shared care record are also proposed, but could take some time to introduce within IT systems.

The summary record, it is understood, would include information on patient conditions and medications from GP systems which could, with patient consent, be viewed by clinicians in other healthcare settings, such as out of hours and secondary care.

The shared care record would work in a similar way but would, for instance, allow hospital staff to update an electronic patient record.

The chronic disease package, believed to be worth about €70 million, contains two elements.

The first would provide GP funding for an annual nurse and doctor visit for patients considered to be at risk of developing a chronic disease.

The second would allow patients suffering from one or more chronic disease access to four visits (two nurse and two doctor visits) annually for the following conditions: Asthma, COPD, diabetes, heart failure, stroke and ischaemic heart disease.

Patients with two or more chronic conditions would incur enhanced GP payments under the deal.

A GP, who spoke to the paper on condition of anonymity, welcomed the deal, saying it would provide much needed funding for GP services and protect doctors’ income.

The GP said he believed general practitioners would embrace chronic disease management in primary care but cautioned that he would not like to see a situation where an increase in chronic disease management in general practice led to a reduction in treating other, more acute patient ailments.

He welcomed the review of GP prescriptions by pharmacists, adding that the service would help to reduce clinical negligence claims and patient litigation. 

Leave a Reply

[the_ad_placement id="main-ldb-public-2"]
[the_ad_placement id="main-ldb-mobile-public-2"]
Latest Issue
The Medical Independent – 24 June 2021

You need to be logged in to access this content. Please login or sign up using the links below.

[the_ad_placement id="main-mpu-public"]
Most Read
[the_ad_placement id="main-ldb-public-2"]
[the_ad_placement id="main-ldb-mobile-public-2"]