1. This meeting endorses the IMO policy that any rollout of universal GP care which is free at the point of access must be on the basis of income thresholds (means test) and chronic disease. Such criteria ensuring that care is provided in the first instance to those most in need.

Proposer: IMO GP Committee

2. This meeting proposes that GP Care which is free at the point of access be introduced to the population based on means and medical need, and not based on age cohorts.

Proposer: Limerick GP Branch

3. This meeting calls on the HSE to engage in a positive and proactive manner in negotiations on the new GP Contract in line with the scope of negotiations as agreed in the Memorandum of Understanding between the HSE, the Department of Health and the IMO.

Status: Referred to GP Committee

4. This meeting calls on the Department of Health and the HSE to acknowledge and recognise the

importance of supporting and resourcing General Practice so as to provide Chronic Care Management in a structured and efficient manner that best benefits the patient and relieves pressure on secondary care.

5. This meeting calls on Government to ensure that in the context of the removal of FEMPI from the Statute Books and reversing public service pay cuts a similar process is put in place for General Practice which has endured disproportionate cuts to fees and allowances with the inevitable consequences of damaging the service and making General Practice unattractive to new GPs.

6. That the IMO calls on the Government to expedite the implementation of a new total population GP Contract given the recent Government announcement that this will not happen in their current term of office.

Proposer: South Dublin GP Branch

7. This meeting calls for a new GP Contract to be negotiated as a matter of urgency and meanwhile all attempts at introducing new contracts by piecemeal should be halted while we await a comprehensive agreement on the GMS Contract.

8. The IMO asks the Government, as part of the talks on the new GP Contract, to provide heightened terms and conditions (such as maternity, sick leave and superannuation) to all GPs.

Proposer: South Dublin GP Branch

9. The IMO asks the Government to factor deprivation in the resourcing of a new GP Contract.

Proposer: South Dublin GP Branch

10. The IMO calls on the HSE and Department of Health to incorporate into any future GP contract

an infrastructure cost. Any new contract must have a fee structure which reflects the true cost of

running general practice, including but not limited to infrastructure costs.

Proposer: North Dublin GP Branch

11. The IMO calls on the HSE and Department of Health to ensure that any future GP contract must have a pension structure which incorporates all pension contributions on all payments to General Practitioners and not just on capitation payments as is currently the case.

Proposer: North Dublin GP Branch

12. This meeting recommends that where GP contracts make reference to standards of practice

or criteria for practice audit the IMO ensures that such guidelines or criteria are peer reviewed and compatible with internationally accepted best practice.

Proposer: South Dublin GP Branch

13. This meeting calls on the HSE to immediately engage with the IMO on the financial impact of

GPs funding the total cost of redundancy payments to GP Practice staff.

Proposer: Limerick GP Branch

14. This meeting calls on the Department of Health and the HSE to immediately restore distance coding in respect of the GMS Contract.

Proposer: Limerick GP Branch

Status: Referred to GP Committee

15. As general practice is imploding due to severe lack of funding, this meeting proposes that the

reductions arising from the inequitable FEMPI cuts be immediately restored.

Proposer: Limerick GP Branch

16. This meeting calls on the IMO to prioritise the reversal of the distance bands elimination and

the FEMPI cuts which have totally undermined the viability of General Practice.

17. The IMO condemn the Department of Health and the HSE for their sustained attach on rural practice by the removal of the rural practice allowances from rural practice.

18. This meeting calls on the HSE to introduce an out of hours supplementary contract fee for patient consultations.

19. This meeting calls for the negotiation of a fee per item house call fee – we encourage patient treatment in their homes and reduce hospital referral.

20. This meeting calls on the GMS Pension Trustees to engage an independent firm to report and make recommendations on:

Proposer: Clare GP Branch and Kilkenny GP Branch

21. This meeting calls on the GMS Trustees to engage an independent firm to report and make

recommendations on the GMS Pension Fund in terms of its ability to deliver sustainable pensions to GPs in the light of stated Government policy in respect of universal GP care to the total population.

22. The IMO is committed to the development of General Practice and protecting the core values

and ethos of the service. The IMO strongly cautions against any introduction of corporate business

Proposer: North Dublin GP Branch

23. The IMO calls on the Bar Council of Ireland and the Law Society to engage with the IMO in developing guidelines in respect of requirements for GPs to be witnesses in court cases. The current model being disruptive to general practice and impractical to facilitate.

24. The IMO calls on the HSE to engage meaningfully on the removal of threatening patients from GP lists, such patients posing potential harm to other patients, practice staff and GPs.

25. This meeting calls on the PCRS to immediately engage with the IMO on the issue of 904 coding of GMS patients.

26. This meeting calls on the PCRS to engage with the IMO in a positive and proactive manner to address ways to reduce the administrative burden on General Practice in terms of receiving payment for services and ensuring such payments are made in a timely and transparent manner.

27. This meeting calls on PCRS to support a streamlined approach to the payment of study leave in respect of maintaining professional competence. The present system adds an unnecessary, unresourced and costly administrative burden on both the individual GP and the PCRS. Given that CPD audits are documented and available for checking by the PCRS the IMO calls on PRCS to agree that once the GP declares completion of the CPD activity the study leave entitlements under the GMS Contract will be paid.

28. This meeting calls on the Department of Health and the HSE to discuss with the IMO approaches to best delivering GP services to the homeless so as to ensure continuity of care and supported pathways for better health outcomes.

29. This meeting calls on the Department of Health and the HSE to recognise and acknowledge the significant manpower and capacity problem in General Practice whereby there are no applicants for vacant lists and for GP Trainee posts. The IMO calls on the HSE to open discussions on best approaches for a long term plan, with supports and resources, to address this problem.

30. This meeting calls on the HSE and the Department of Health to recognise and support existing Primary Care Centres instead of planning to invest in alternative, duplicate facilities which is a waste of taxpayer funds.