1. In light of the unprecedented failure to fill the GP training places available, the NAGP call on the Minister for Health to address the immediate underlying issues causing this in advance of the 2018 recruitment. Proposer: Dr Conor McGee. Seconder: Dr Michael McConville
  2. The NAGP propose the immediate reversal of FEMPI for general practitioners in a process similar to that currently being employed for other employees and organisations in advance of and separate to and not provisional upon any agreement of a new GP contract. Proposer: Dr Lucia Gannon. Seconder: Dr Stephen Murphy
  3. The NAGP proposes that payments related to the insertion and removal of LARC (long acting reversible contraceptives) be costed and remunerated to reflect the time and expertise required by GPs to provide this service. Proposer: Dr Lucia Gannon. Seconder: Dr Stephen Murphy
  4. The NAGP proposes that GPs are no longer required to subsidise the OOH (out of hours) services.  Proposer: Dr Lucia Gannon. Seconder: Dr Stephen Murphy
  5. The NAGP proposes that any Doctor consulting on-line in the capacity of a GP service must be in active General Practice and any engagement be with own practice patients to avoid fragmentation of care. Proposer: Dr Emmet Kerin. Seconder: Dr Dan Crowley
  6. The NAGP calls on the State to realistically value, remunerate and resource the strengths of traditional general practice (i.e. personal care, continuity of care, person-centred care and professional autonomy) in any new GP contract proposals to prevent and reverse the erosion of general practice services. Proposer: Dr Lucia Gannon. Seconder: Dr Liam Meagher
  7. The NAGP again proposes that domiciliary visits by GPs be reimbursed on a fee-per-item basis, implementing a similar fee structure to that currently used for the reimbursement of Community Intervention Teams who provide home visits. Proposer: Dr Lucia Gannon. Seconder: Dr Liam Meagher
  8. The NAGP calls on the DOH to resource general practice related diplomas and practice nurse training courses in full. Proposer: Dr Maitiu O’Tuathail. Seconder: Dr Sarah Geoghegan Murray
  9. In order to retain graduates and assist those graduate students who are heavily indebted with education loans, the NAGP calls on the government to put structures in place such as tax reliefs, government subsidised loan schemes and innovative Practice Grants to allow practices in rural and urban deprived areas to take on newly qualified GPs. Proposer: Dr Ciaran O’Halloran. Seconder: Dr Orla O’Leary
  10. The NAGP call on the government to respect the European court of justice ruling regarding the European working time directive with respect to GPs, and to no longer expect GPs to be contactable 24/7 365 days per year, in clear breach of the directive. Proposer: Dr Leanne Hanrahan. Seconder: Dr Maitiu O’Tuathail
  11. That the NAGP undertake on behalf of its member to produce an accurate and practical guide to the obligations of the current GMS contract in general and draw up a list of specific activities that are not included. This is to include a list of the Department of Health’s obligations and responsibilities. Proposer: Dr Michael McConville. Seconder: Dr Shane Corr
  12. That the NAGP supports the early negotiation and implementation of an End-of Life Planning and Care Package for general practice, to assist patients to die with dignity at home or in their nursing home where appropriate, with the support of their family and local GP. Proposer: Dr Ronan Fawsitt. Seconder: Dr Emmet Kerin
  13. Local Integrated Care Committees: In the context of a hugely fragmented health service that the NAGP supports the principle of actively improving communication between GPs, consultants and local management to enhance patient care and build local services in an agreed manner. This engagement should be structured, resourced (including travel) and open to all GPs to participate. Proposer: Dr Ronan Fawsitt. Seconder: Dr Emmet Kerin
  14. That the NAGP undertakes to define, in the context of the current GMS contract, the true legal obligation of the 24 hour commitment to be “contactable” for urgent cases. Proposer: Dr Michael McConville. Seconder: Dr Shane Corr
  15. That the NAGP seeks formal legal advice regarding the common law doctrines of impossibility, impracticality and frustration where they apply to the current (and future) contract and pertain to locum cover for illness, study and holiday leave. Proposer: Dr Michael McConville. Seconder: Dr Shane Corr
  16. We call on the Minister for Health to care for sick doctors by ensuring that the HSE be ultimately responsible for the sourcing of agreed locums in this situation if requested, and that these locums be fully funded by the HSE. Proposer: Dr Tadhg O’Carroll. Seconder: Dr Liam Glynn