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Assessing the Feasibility of HSE Employing In-house GPs to Tackle Shortage of Family Doctors

The Health Service Executive (HSE) plays a vital role in delivering healthcare services to the people of Ireland. However, the current shortage of family doctors has put a strain on the system, making it difficult for individuals to access appropriate care. As a result, there has been debate on whether HSE should employ its own General Practitioners (GPs) for the first time to deal with this crisis. In this article, we will explore the benefits and drawbacks of HSE hiring its own GPs, and examine whether this solution may help alleviate the family doctor crisis in Ireland.


Next week, Health Minister Stephen Donnelly will announce a strategic review of general practice to address the shortage of doctors in rural and deprived areas. The review will consider the potential for GPs to be employed by the HSE on a salary, rather than the current system where they are self-employed and do contract work for the HSE. The review will address the challenges facing general practice in delivering a sustainable service into the future, including an ageing workforce and demands and capacity projections. Three practising GPs will join the Department of Health project group overseeing the review. The review will also look at expanding the GP team and developing potential roles to improve service delivery. The focus will be on providing efficient and effective service delivery with all team members working as closely as possible to the top of their licence. The review aims to ensure that there is an adequate supply of general practitioners to meet the changing needs of the population and address the retention of GP graduates at every stage of their career.


In conclusion, the family doctor crisis in the HSE has highlighted the need for a new approach to healthcare delivery. The prospect of HSE hiring their own GPs is an intriguing and potentially effective solution to the problem, but there are many factors that need to be considered before such a move can be made.

There are both advantages and disadvantages to the HSE taking on such a significant responsibility, and the decision needs to be carefully weighed against the impact it could have on other areas of healthcare delivery.

Ultimately, the HSE needs to work closely with all stakeholders, including medical professionals and the public, to develop a sustainable and effective approach to addressing the family doctor crisis. Only by working together can we ensure everyone has access to high-quality healthcare when they need it most.

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