Vóta Dála · 25 Feabhra 2026

Expanding Access to General Practitioner Care: Motion (Resumed) [Private Members]

Amendment put

Roinn an vóta seo

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Rún beartais · Leasú

Vóta ar leasú atá anseo. Baineann Tá agus Níl leis an leasú, seachas leis an mBille nó leis an rún iomlán. Seiceáil an focail a chur leis, a bhaint nó a ionadú atá beartaithe.

Cuireann rún beartais seasamh an Tí in iúl nó iarrann sé gníomh. Ní athraíonn sé an dlí ann féin ná ní chuireann sé iallach dlíthiúil ar an Rialtas an beartas a chur i bhfeidhm.

Ní thugtar an fhoclaíocht bheacht sa taifead roinnte seo. Seiceáil an díospóireacht oifigiúil.

Ciallaíonn Tá 'tá' agus Níl 'níl' don cheist bheacht a cuireadh. Ní shoiléiríonn an vóta amháin seasamh iomlán ná cúiseanna TD.

Léirmhíniú DáilDex ar an bhfoclaíocht oifigiúil.

Gluais an Oireachtais

An toradh

Lost

Tá: 65
Níl: 76
Staon: 0

Áiritheoirí: Tá, Deputies Marie Sherlock and Duncan Smith; Níl, Deputies Mary Butler and Emer Currie.

Taifead oifigiúil Léigh an díospóireacht

Conas a vótáil gach páirtí

Páirtí	Tá	Níl	Staon	Gan vóta	Formhór
Fianna Fáil	–	37	–	11	Níl
Sinn Féin	36	–	–	3	Tá
Fine Gael	–	32	–	5	Níl
Independent	4	7	–	4	Gan fuip
Labour Party	10	–	–	1	Tá
Social Democrats	10	–	–	1	Tá
Independent Ireland	2	–	–	2	Tá
People Before Profit-Solidarity	2	–	–	1

Conas a vótáil gach TD

172 as 172 TD á dtaispeáint

Aengus Ó SnodaighSinn Féin · Dublin South-Central
Tá
Aidan FarrellySocial Democrats · Kildare North
Tá
Aindrias MoynihanFianna Fáil · Cork North-West
Gan vóta
Aisling DempseyFianna Fáil · Meath West
Níl
Alan DillonFine Gael · Mayo
Níl
Alan KellyLabour Party · Tipperary North
Tá
Albert DolanFianna Fáil · Galway East
Níl
Ann GravesSinn Féin · Dublin Fingal East
Tá
Barry HeneghanIndependent · Dublin Bay North
Níl
Barry WardFine Gael · Dún Laoghaire
Níl
Brendan SmithFianna Fáil · Cavan-Monaghan
Gan vóta
Brian BrennanFine Gael · Wicklow-Wexford
Níl
Brian StanleyIndependent · Laois
Tá
Carol NolanIndependent · Offaly
Tá
Cathal CroweFianna Fáil · Clare
Níl
Catherine ArdaghFianna Fáil · Dublin South-Central
Níl
Catherine CallaghanFine Gael · Carlow-Kilkenny
Níl
Cathy BennettSinn Féin · Cavan-Monaghan
Tá
Charles Ward100% RDR · Donegal
Gan vóta
Charlie McConalogueFianna Fáil · Donegal
Níl
Christopher O'SullivanFianna Fáil · Cork South-West
Níl
Cian O'CallaghanSocial Democrats · Dublin Bay North
Tá
Ciarán AhernLabour Party · Dublin South-West
Gan vóta
Claire KerraneSinn Féin · Roscommon-Galway
Tá
Colm BrophyFine Gael · Dublin South-West
Níl
Colm BurkeFine Gael · Cork North-Central
Níl
Conor D. McGuinnessSinn Féin · Waterford
Tá
Conor SheehanLabour Party · Limerick City
Tá
Cormac DevlinFianna Fáil · Dún Laoghaire
Níl
Danny Healy-RaeIndependent · Kerry
Gan vóta
Dara CallearyFianna Fáil · Mayo
Níl
Darragh O'BrienFianna Fáil · Dublin Fingal East
Gan vóta
Darren O'RourkeSinn Féin · Meath East
Tá
David CullinaneSinn Féin · Waterford
Tá
David MaxwellFine Gael · Cavan-Monaghan
Níl
Denise MitchellSinn Féin · Dublin Bay North
Tá
Dessie EllisSinn Féin · Dublin North-West
Tá
Donna McGettiganSinn Féin · Clare
Tá
Donnchadh Ó LaoghaireSinn Féin · Cork South-Central
Tá
Duncan SmithLabour Party · Dublin Fingal East
Tá
Eamon ScanlonFianna Fáil · Sligo-Leitrim
Níl
Edward TimminsFine Gael · Wicklow
Níl
Emer CurrieFine Gael · Dublin West
Níl
Emer HigginsFine Gael · Dublin Mid-West
Níl
Eoghan KennyLabour Party · Cork North-Central
Tá
Eoin HayesSocial Democrats · Dublin Bay South
Tá
Eoin Ó BroinSinn Féin · Dublin Mid-West
Tá
Erin McGreehanFianna Fáil · Louth
Níl
Fionntán Ó SúilleabháinSinn Féin · Wicklow-Wexford
Tá
Frankie FeighanFine Gael · Sligo-Leitrim
Níl
Gary GannonSocial Democrats · Dublin Central
Tá
Ged NashLabour Party · Louth
Tá
George LawlorLabour Party · Wexford
Tá
Gillian TooleIndependent · Meath East
Níl
Grace BolandFine Gael · Dublin Fingal West
Níl
Helen McEnteeFine Gael · Meath East
Níl
Hildegarde NaughtonFine Gael · Galway West
Níl
Holly CairnsSocial Democrats · Cork South-West
Gan vóta
Ivana BacikLabour Party · Dublin Bay South
Tá
Jack ChambersFianna Fáil · Dublin West
Gan vóta
James BrowneFianna Fáil · Wexford
Níl
James GeogheganFine Gael · Dublin Bay South
Níl
James LawlessFianna Fáil · Kildare North
Níl
James O'ConnorFianna Fáil · Cork East
Níl
Jen CumminsSocial Democrats · Dublin South-Central
Tá
Jennifer Carroll MacNeillFine Gael · Dún Laoghaire
Gan vóta
Jennifer Murnane O'ConnorFianna Fáil · Carlow-Kilkenny
Níl
Jennifer WhitmoreSocial Democrats · Wicklow
Tá
Jerry ButtimerFine Gael · Cork South-Central
Níl
Jim O'CallaghanFianna Fáil · Dublin Bay South
Níl
Joanna ByrneSinn Féin · Louth
Tá
Joe CooneyFine Gael · Clare
Níl
Joe NevilleFine Gael · Kildare North
Gan vóta
John BradySinn Féin · Wicklow
Tá
John ClendennenFine Gael · Offaly
Níl
John ConnollyFianna Fáil · Galway West
Níl
John CumminsFine Gael · Waterford
Níl
John LahartFianna Fáil · Dublin South-West
Níl
John McGuinnessFianna Fáil · Carlow-Kilkenny
Gan vóta
John Paul O'SheaFine Gael · Cork North-West
Níl
Johnny GuirkeSinn Féin · Meath West
Tá
Johnny MythenSinn Féin · Wexford
Tá
Keira KeoghFine Gael · Mayo
Níl
Ken O'FlynnIndependent Ireland · Cork North-Central
Tá
Kevin Boxer MoranIndependent · Longford-Westmeath
Níl
Kieran O'DonnellFine Gael · Limerick City
Níl
Liam QuaideSocial Democrats · Cork East
Tá
Louis O'HaraSinn Féin · Galway East
Tá
Louise O'ReillySinn Féin · Dublin Fingal West
Tá
Maeve O'ConnellFine Gael · Dublin Rathdown
Níl
Máire DevineSinn Féin · Dublin South-Central
Tá
Mairéad FarrellSinn Féin · Galway West
Tá
Malcolm ByrneFianna Fáil · Wicklow-Wexford
Níl
Marian HarkinIndependent · Sligo-Leitrim
Níl
Marie SherlockLabour Party · Dublin Central
Tá
Mark WallLabour Party · Kildare South
Tá
Mark WardSinn Féin · Dublin Mid-West
Tá
Martin DalyFianna Fáil · Roscommon-Galway
Níl
Martin HeydonFine Gael · Kildare South
Níl
Martin KennySinn Féin · Sligo-Leitrim
Gan vóta
Mary ButlerFianna Fáil · Waterford
Níl
Mary Lou McDonaldSinn Féin · Dublin Central
Gan vóta
Matt CarthySinn Féin · Cavan-Monaghan
Tá
Mattie McGrathIndependent · Tipperary South
Gan vóta
Maurice QuinlivanSinn Féin · Limerick City
Tá
Michael CahillFianna Fáil · Kerry
Gan vóta
Michael CollinsIndependent Ireland · Cork South-West
Gan vóta
Michael FitzmauriceIndependent Ireland · Roscommon-Galway
Tá
Michael Healy-RaeIndependent · Kerry
Gan vóta
Michael LowryIndependent · Tipperary North
Níl
Michael MoynihanFianna Fáil · Cork North-West
Níl
Michael MurphyFine Gael · Tipperary South
Níl
Micheál CarrigyFine Gael · Longford-Westmeath
Níl
Micheál MartinFianna Fáil · Cork South-Central
Gan vóta
Naoise Ó CearúilFianna Fáil · Kildare North
Níl
Naoise Ó MuiríFine Gael · Dublin Bay North
Níl
Natasha Newsome DrennanSinn Féin · Carlow-Kilkenny
Tá
Neale RichmondFine Gael · Dublin Rathdown
Níl
Niall CollinsFianna Fáil · Limerick County
Níl
Niamh SmythFianna Fáil · Cavan-Monaghan
Níl
Noel GrealishIndependent · Galway West
Níl
Noel McCarthyFine Gael · Cork East
Níl
Norma FoleyFianna Fáil · Kerry
Níl
Pa DalySinn Féin · Kerry
Tá
Pádraig Mac LochlainnSinn Féin · Donegal
Tá
Pádraig O'SullivanFianna Fáil · Cork North-Central
Níl
Pádraig RiceSocial Democrats · Cork South-Central
Tá
Pat BuckleySinn Féin · Cork East
Tá
Pat the Cope GallagherFianna Fáil · Donegal
Gan vóta
Patrick O'DonovanFine Gael · Limerick County
Gan vóta
Paul DonnellySinn Féin · Dublin West
Tá
Paul LawlessAontú · Mayo
Gan vóta
Paul McAuliffeFianna Fáil · Dublin North-West
Níl
Paul MurphyPeople Before Profit-Solidarity · Dublin South-West
Tá
Paul Nicholas GogartyIndependent · Dublin Mid-West
Tá
Paula ButterlyFine Gael · Louth
Níl
Peadar TóibínAontú · Meath West
Tá
Pearse DohertySinn Féin · Donegal
Tá
Peter 'Chap' CleereFianna Fáil · Carlow-Kilkenny
Níl
Peter BurkeFine Gael · Longford-Westmeath
Gan vóta
Peter RocheFine Gael · Galway East
Níl
Réada CroninSinn Féin · Kildare North
Gan vóta
Richard Boyd BarrettPeople Before Profit-Solidarity · Dún Laoghaire
Gan vóta
Richard O'DonoghueIndependent Ireland · Limerick County
Gan vóta
Robert O'DonoghueLabour Party · Dublin Fingal West
Tá
Robert TroyFianna Fáil · Longford-Westmeath
Níl
Roderic O'GormanGreen Party · Dublin West
Gan vóta
Rory HearneSocial Democrats · Dublin North-West
Tá
Rose Conway-WalshSinn Féin · Mayo
Tá
Ruairí Ó MurchúSinn Féin · Louth
Tá
Ruth CoppingerPeople Before Profit-Solidarity · Dublin West
Tá
Ryan O'MearaFianna Fáil · Tipperary North
Níl
Seamus HealyIndependent · Tipperary South
Tá
Séamus McGrathFianna Fáil · Cork South-Central
Níl
Seán CanneyIndependent · Galway East
Níl
Seán CroweSinn Féin · Dublin South-West
Tá
Sean FlemingFianna Fáil · Laois
Níl
Seán Ó FearghaílFianna Fáil · Kildare South
Gan vóta
Shane MoynihanFianna Fáil · Dublin Mid-West
Níl
Shay BrennanFianna Fáil · Dublin Rathdown
Níl
Shónagh Ní RaghallaighSinn Féin · Kildare South
Tá
Simon HarrisFine Gael · Wicklow
Gan vóta
Sinéad GibneySocial Democrats · Dublin Rathdown
Tá
Sorca ClarkeSinn Féin · Longford-Westmeath
Tá
Thomas ByrneFianna Fáil · Meath East
Níl
Thomas GouldSinn Féin · Cork North-Central
Tá
Timmy DooleyFianna Fáil · Clare
Níl
Tom BrabazonFianna Fáil · Dublin Bay North
Gan vóta
Tony McCormackFianna Fáil · Offaly
Níl
Verona MurphyIndependent · Wexford
Gan vóta
William AirdFine Gael · Laois
Níl
Willie O'DeaFianna Fáil · Limerick City
Gan vóta

An téacs iomlán ar vótáil na Teachtaí air

Chinn an vóta seo leasú Uimh. 1, athrú atá beartaithe ar an rún. Thacaigh Tá leis an athrú; chuir Níl ina choinne.

Is féidir le rún roinnt tograí a chur le chéile. Baineann Tá nó Níl leis an gceist iomlán a cuireadh, mar sin d'fhéadfadh TD aontú le cuid amháin agus vótáil ina choinne fós mar gheall ar chuid eile. Léigh an fhoclaíocht iomlán, agus an díospóireacht inar thug na Teachtaí a gcúiseanna, sula nglactar leis an vóta seo mar sheasamh ar phointe ar bith amháin.

An rún mar a tairgeadh éArna thairiscint ag Deputy Pádraig Rice ar Wednesday, 25 February 2026

That Dáil Éireann:
recognises that:
— access to timely General Practitioner (GP) care is a fundamental pillar of a safe, effective and equitable health service;
— GPs play a vital role in our health service, managing the majority of people's medical care needs, and acting as the first point of medical contact for most patients;
— GPs provide a core leadership role in delivering care outside of the hospital setting, and are central to the provision of Sláintecare's new model of integrated, multidisciplinary care; and
— to continue the shift away from our current hospital-centric system, patients must have timely access to GP and community-based healthcare services that are free at the point of use;
notes that:
— Ireland is an outlier in Europe in not providing universal primary healthcare that is free at the point of need, instead, we have a system of eligibility which is determined primarily on the grounds of income or age;
— according to the Health Service Executive (HSE) Primary Care Reimbursement Scheme, approximately 42 per cent of the population has access to free GP care through medical cards or GP visit cards, and the remaining 58 per cent pay out of their own pocket;
— the cost of visiting a GP can range from €50 to €90;
— in 2025, research commissioned by the Irish Cancer Society found that more than 30 per cent of people surveyed didn't attend a healthcare appointment because of cost;
— the same survey revealed that 25 per cent of people prioritised other costs over their healthcare, including heating and eating;
— a key recommendation from the Oireachtas Special Committee on the Future of Healthcare Sláintecare Report, published in 2017, was universal GP coverage by year five of implementation;
— the 2016 Programme for Government committed to extending free GP care to under 18s, which never happened;
— free GP care for children aged under six was rolled out in 2015, but it took another eight years before free GP care for children under eight was authorised in 2023; and
— the 2025 Programme for Government commits to extending free GP care to children up to at least 12 years;
further notes that:
— the 2017 Sláintecare Report stated that the current GP contract was a barrier to a primary-care orientated health service, and recommended an entirely new contract to facilitate new ways of working;
— the current GP contract is over 50 years old, and although it has been amended on numerous occasions, the core contract does not reflect modern day general practice, nor the future career expectations of young trainees and GPs;
— research carried out by the Irish College of GPs in 2023, found that almost half of trainees, 48.1 per cent, were not prepared to take up the contract within a year of finishing their training;
— the same research found that just above one third, 36.7 per cent, of graduates felt comfortable with the traditional responsibilities of the GP principal/partner position;
— the need for better working conditions, greater flexibility and new ways of working has consistently been identified by the Irish College of GPs and the Royal College of Surgeons in Ireland, in their GP Retention Project; and
— in April 2023, the Department of Health and the HSE initiated a Strategic Review of General Practice, which was due to be completed that year but is still ongoing, nearly three years later;
acknowledges that:
— according to the Economic and Social Research Institute, an additional 943 to 1,211 GPs will be needed by 2040;
— while the Irish College of GPs estimates that 2,000 more GPs are needed due to current demand of our aging population and population growth;
— in 2024, just two counties exceeded the World Health Organization's recommended ratio of 100 GPs per 100,000 of population, with areas of deprivation and rural areas worst served;
— it is well established that there are higher and more complex health needs in areas of deprivation, yet there are fewer GPs working in these communities compared to more affluent areas;
— it is estimated that Dublin's North Inner City has one GP for every 3,525 people, compared to the national average of one GP for 1,759 people; and
— a third of the population lives in rural Ireland, yet the Irish College of GPs estimates that only 10 per cent of GPs work in these areas, with many in solo practices;
further acknowledges that:
— the Chronic Disease Management Programme (CDMP) has clearly demonstrated what general practice can deliver, when structural programmes, which align with Sláintecare, are implemented and resourced; and
— last year, the HSE's report on GP-led Chronic Disease Management found that participants in the programme had 30 per cent fewer emergency department attendances, 26 per cent fewer hospital admissions, and 33 per cent fewer GP out-of-hours visits;
is concerned that:
— many GPs are overworked, burnt-out and increasingly overburdened with administrative work, all at the expense of their own work-life balance;
— in the absence of reform, we are seeing the increasing corporatisation of general practice, with small family practices being bought up by investor-owned corporate entities with multiple locations;
— a significant number of GPs are approaching retirement, with the Irish College of GPs estimating that 600 GPs are aged 65 or over, 300 of whom are aged 65 to 69, and 300 of whom are still working aged 70 and over;
— according to an Irish Independent survey of 275 registered GPs carried out in 2024, more than half of the GPs could not accept new patients, with more than two out of three GPs in rural Ireland unable to take on new patients; and
— there are critical gaps in out-of-hours GP services, and capacity constraints in daytime general practice are putting additional pressure on out-of-hours services; and
calls on the Government to:
— in the forthcoming budget, implement the Programme for Government commitment to expand free GP care to children up to 12 years of age;
— immediately set out a clear timeline for the delivery of universal GP and primary care, which is free at the point of use, within the lifetime of this Government;
— introduce a salaried GP model, with GPs directly employed by the HSE, for underserved communities, beginning with rural areas and offshore islands, and expanding into areas of deprivation and out-of-hours services;
— create a new DEIS for GPs scheme, deprivation-weighted General Medical Services capitation rates, with a cap on list size, in recognition of the additional health needs of patients in deprived areas;
— expand locum cover supports for GPs, by developing a nationwide HSE locum bank to ensure all GPs can take leave;
— develop a new GP contract which facilitates new ways of working, meets the work-life balance and career expectations of younger GPs and trainees, and incentivises health promotion, public health work, disease prevention, and the delivery of integrated care;
— invest in a national GP Clinical Lead role, to design, test and support new models of rural and remote general practice care;
— establish a primary care health equity working group, with representation from frontline services and patients living in deprived areas, similar to the successful Scottish model;
— accelerate the delivery of HSE-built primary care centres, to provide suitable premises for GPs and their teams, and support the delivery of integrated, multidisciplinary care;
— develop a national strategy to attract, support and retain future GPs, and this should include increased exposure to general practice in medical schools, structured post-training fellowships, specific time spent in practices in both rural areas and areas of deprivation during GP training, and measures to support more diverse, flexible, and equitable career pathways;
— accelerate implementation of the Irish College of GPs' 2023 report, entitled "Medical Student to General Practitioner - An urgent call to action";
— provide an additional 100 GP training places, through the expansion of training capacity in hospitals and supporting training practices;
— implement a new model of out-of-hours GP care, which is uniform across the country, to ensure that access to out-of-hours care is consistent;
— align general practice nurses' terms and conditions with their HSE colleagues, recognise and support general practice nurses' continuing professional development, and establish clear career pathways for progression;
— increase annual public health nurse training capacity, from 160 to 240 places;
— remove the Common Conditions Service fee for medical card holders;
— provide universal access to the CDMP for all patients with type 2 diabetes, asthma, chronic obstructive pulmonary disease, cardiovascular disease and any further expansions such as the planned inclusion of chronic kidney disease;
— expand the CDMP to include severe and enduring mental health difficulties, epilepsy and other conditions as appropriate, in consultation with GPs delivering the service;
— develop a structured women's health programme for general practice, which deals with contraception, screening of STIs, fertility, pre-conception, endometriosis and menopause; and
— develop a national GP data framework to provide for integration with future eHealth systems, standardised data collection, greater data flow, data stewardship and investment in analytical capacity.

Leasú Uimh. 1Cinneadh sa vóta seoArna thairiscint ag Deputy Marie Sherlock

To insert the following after "and investment in analytical capacity":
";
further recognises that:
— the inverse care law and unequal access to GPs is giving rise to stark inequalities, delayed diagnosis, poorer health outcomes, and increasing upward pressure on the hospital system;
— recent extensive research by the Labour Party on GP-to-patient ratios has highlighted significant inequalities, and found that there is one GP per 1,390 of population in Clontarf in Dublin 3, yet in Cabra in Dublin 7, the ratio is one GP to 3,060 of population;
— suburban areas of significant population growth are struggling with a lack of GP services, with East Meath having one General Medical Service GP for every 5,090 people, a divergence of 3,331 from the national average; and
— the 2025 Economic and Social Research Institute projections, of national demand and workforce requirements for general practice in Ireland, also show there will be a demand increase of at least 23 per cent by 2040, requiring up to an additional 761 to 868 General Practice Nurses, alongside increased GP numbers; and
therefore, further calls on Government to support the passage into law of the Health (Availability of General Practitioner Services) Bill 2025, to provide for a direct statutory link between the HSE's assessment of the level of need for primary care services in specific areas, and the level of service provided.".

An fhoclaíocht mar a foilsíodh í i dtaifead oifigiúil na Dála, gan eagarthóireacht. Léigh an díospóireacht