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Motions Session 1

12.15pm Saturday 20th May 2017

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.
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.
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 doubled 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 asks the State to support 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.

Proposer: Dr Lucia Gannon     Seconder: Dr Liam Meagher

7. The NAGP 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

Motions Session 2

14.30 Saturday 20th May 2017

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 HSE 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 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. When Doctors with GMS contracts are unable to work due to medical illness, we request that the HSE be responsible for the sourcing, funding and indemnity costs of all GP locums that are agreed with the practice.
Proposer: Dr Tadhg O’Carroll     Seconder: Dr Liam Glynn