IMO AGM General Practitioner National Meeting Motions 2013
Saturday 6th April 2013
9.30am – 12.30pm
GMS Contract / PCRS
1. This meeting demands that the Department of Health honour in full all existing contracts with GPs, particularly the GMS Contract. Proposer: IMO GP Committee Status : Carried |
2. This meeting demands that an independent robust arbitration process be put in place immediately for any disputes between GPs and the PCRS that arise from existing contracts and that fail to be dealt with in a timely manner. Proposer: IMO GP Committee Status : Carried |
3. This meeting demands that the breach of the GMS Contract, in specifying that GPs work in aspirational or virtual Primary Care Centres, cease forthwith. Proposer: IMO GP Committee Status : Carried |
4. This meeting calls on the PCRS to ensure that no payment due to GPs is in arrears of more than one month from the time of submission of the claim. Proposer: IMO North East GP Branch Status : Carried |
5. The IMO will not tolerate any payments in arrears which are owed to GPs from PCRS. Proposer: IMO North East GP Branch Status : Carried |
6. The IMO demands that immediate payment on account be made to GPs in respect of any outstanding payments pending arbitration. Proposer: IMO North East GP Branch Status : Carried |
7. This meeting calls on the IMO to set up sentinel practices in each county and that such practices will advise the IMO of payment delays so that the IMO may take all necessary action in respect of such payment delays. Proposer: IMO North East GP Branch Status : Carried |
8. This meeting calls on the IMO to gather data from GPs in respect of payments under the GMS Contract and to collate information on payment delays on a county by county basis. Proposer: IMO North East GP Branch Status : Carried |
9. The IMO will advise GPs of any trends in payment delays under the GMS Contract. Proposer: IMO North East GP Branch Status : Carried |
Resources and Workload
10. Should the HSE continue to erode general practice funding GPs will not be in a position to engage in additional workload, as outlined in IMO FEMPI Submissions, such as Primary Care Team involvement and we call on the Minister for Health not to undermine the fabric of General Practice further. Proposer: IMO Limerick GP Branch Status : Carried |
11. This meeting deplores the lack of resources provided to General Practice and the proposed reduction from the GMS as announced in the last Budget. Proposer: IMO North Dublin GP Branch Status : Carried |
12. This meeting supports the provision of adequate primary health care funding for urban and rural deprived areas on a weighted basis. Amendment: This meting supports the provision of adequate GP funding for urban and rural deprived areas on a weighted basis. Proposer: IMO North Dublin GP Branch Status : Amended Motion Carried |
13. This meeting calls on the IMO to conduct and publish research on GP Workload and GP Payments and compare to those applying in other EU countries. Amendment: This meeting calls on the IMO to conduct and publish research on GP Workload and GP Payments and compare to those applying in EU Countires and Englisg speaking countries. Proposer: IMO North East GP Branch Status : Amended Motion Carried |
14. This meeting calls on the IMO to gather accurate data regarding visitation rates in general practice by patient type/group so that general practice workload may be accurately assessed. Proposer: IMO North East GP Branch Status : Carried |
15. This meeting demands the immediate reinstatement of out of hours visit fees on the basis of distance codes. Proposer: IMO GP Committee Status : Carried |
16. This meeting demands the reversal of the STC rate reduction in respect of STCs between the hours of 8am to 9am and 5pm to 6pm. Proposer: IMO North East GP Branch Status : Carried |
Transfer of Work
17. This meeting calls on the IMO to develop and adopt a policy on the inappropriate transfer of workload from secondary care into General Practice. Proposer: IMO North East GP Branch Status : Carried |
18. This meeting calls on the IMO to advise all hospital managers and clinical directors that GPs can no longer accept the transfer of hospital work and that this be advised, by the hospital managers, to all appropriate personnel within the hospitals and included as part of the NCHD Induction Programme run by the hospital. Amendment: This meeting calls on the IMO to advise all hospital, service managers and clinical directors that GPs can no longer accept the transfer of hospital work and that this be advised, by the hospital managers, to all appropriate personnel within the hospitals and included as part of the NCHD Induction Programme run by the hospital. Proposer: IMO North East GP Branch Status : Amended Motion Carried |
19. This meeting proposes that the IMO produce a document on the limitations of the GMS Contract so as to provide clarity to all members of the IMO – GPs, Consultants, NCHDs and Public Health. Proposer: IMO North East GP Branch Status : Carried |
20. That the possibility of rolling out ultrasound into General Practice be explored. Proposer: Dr Bridget O’Brien Status : Carried |
Co-Ops
21. The IMO demands that any GPs who changed their contracted working hours to suit local Co-Op cover be allowed to return to their contracted working hours. Proposer: IMO North East GP Branch Status : Carried |
Medical Cards
22. This meeting insists that no new type of medical card will be introduced on a non means tested /designated illness basis without negotiation with the IMO. Proposer: IMO North East GP Branch Status : Carried |
Universal Health
23. This meeting demands that any new Universal Health Care programme, as it affects primary care, be an extension to the existing GMS model. Proposer: IMO Mayo GP Branch Status : Reffered to Council |
GP Level 1 and Level 2 Contracts
24. This meeting calls on the IMO to meet urgently with the ICGP to address the lack of adequate treatment for drug users, especially in areas outside of Dublin due to issues in respect of GP Level 1 and Level 2 contracts. Proposer: Dr Cathal O’Suilleabhain Status : Motion Fell |
Proposed Care Pathways
25. This meeting calls on the IMO to engage with the ICGP in respect of the development of proposed care pathways for patients so that any potential contractual issues can be assessed prior to any engagement with the HSE or Department of Health. Proposer: IMO Limerick GP Branch Status : Motion Fell |
Pension Issues
26. This meeting proposes that the IMO GP Committee will nominate one of their members to be put forward for approval as a Trustee to the GMS Pension Fund. Proposer: IMO Limerick GP Branch Status : Motion Fell |
27. This meeting calls on the Trustees of the GMS Pension Scheme to put the Scheme to an open competitive tender, on a regular basis, to ensure the management charges are competitive. Proposer: IMO Clare GP Branch Status : Carried |
28. This meeting calls on the Trustees of the GMS Pension Scheme to provide an investment choice, other than an Annuity, to retiring GMS Doctors (as provided for in the Finance Act 2011). Proposer: IMO Mayo GP Branch Status : Carried |
29. This meeting calls on the IMO to address the issue of State Pensions to those General Practitioners who work in community hospitals. Proposer: Dr Eamon Stack Status : Carried |