General Practitioner Services Dail Éireann — 2026-05-19 ============================================================ Pádraig O'Sullivan (FF), Cork North-Central Like all good answers, maybe the door is slightly ajar there in the reply, "The HSE can grant an extension on a case-by-case basis, where considered necessary and appropriate, to allow a GP to continue to see their GMS patients after reaching 72 years." That begs the question as to what is deemed necessary and appropriate. I do not expect the Minister of State to have an answer to that given he is not in the Department of Health. Perhaps somebody could provide clarity on what is considered necessary and appropriate. Is it a cognitive assessment or some kind of medical assessment? I am not sure. Maybe clarity could be sought from the Department afterwards. I get why we have a cut-off in age. The various studies I have looked at in relation to this show that, cognitively, in terms of practice and so on, once people reach the age of 65, there is a reduced adaptability. Tests have proven and evidence suggests that older doctors may be less likely to adapt to new clinical standards, and I get that. Definitely in the case of this doctor at 72, it is not a case of not being able to teach an old dog new tricks. This guy is well renowned, quite able and ready to adapt. What he is asking for is fair play. Referring back to the Minister of State's answer, if it does require some kind of assessment to get him back into that bracket of his case being considered necessary and appropriate, I would like to tease that out. I do not expect the Minister of State to have the answer here, but that clarity would be sought, especially in a climate where we are extending the number of patients eligible for medical cards with every budget. The system is already under considerable pressure. If it is truly a case-by-case assessment that is allowable, I would ask that it be teased out to its fullest. --- Source: Houses of the Oireachtas. Licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). The Official Report is revised after first publication; the fetch timestamp below identifies the version quoted. Record URI: https://data.oireachtas.ie/akn/ie/debateRecord/dail/2026-05-19/debate/main Retrieved: 2026-09-28T05:50:46+00:00 Sitting date: 2026-05-19