Web-economic-crisis-health-systems-and-health-web

Chapter 5 | The impact of the crisis on the health system and health in Ireland
169
2010
January Government introduced progressive public sector pay cuts of between 5 and 15%
DoH increased prescription charges for private patients and cut entitlements for
private patients under the Treatment Benefit Scheme
DoH announced first in a series of major annual cuts to public health budget c
February
April
June
October
November
2011
January
March
2012
January
June
September
November
December
2013
January
May
DoH published interim agreements with pharmaceutical manufacturers
DoH cut entitlements for medical card patients under the Dental Treatment
Services Scheme
DoH negotiated a Public Service Agreement with health professionals (as part of
an agreement with the wider public service)
DoH introduced prescription charges for medical card patients
Ireland accepted an EU–IMF Programme of Financial Support worth e85 billion
for the period 2010–2013
Government abolished the health levy and replaced it with a (non-earmarked)
universal social charge
New coalition government announced commitment to a universal health
insurance system (by 2016) and free primary care (to be phased in by 2015) in
its Programme for Government
DoH published interim agreements with pharmaceutical manufacturers
DoH increased prescription charges for private patients and cut entitlements for
private patients under the Treatment Benefit Scheme
DoH published further interim agreements with pharmaceutical manufacturers
DoH introduced lower pay scales for newly appointed hospital consultants and
nurses
DoH reached new agreements for the period 2012–2015 with pharmaceutical
manufacturers
EU–IMF expressed concern over health budget overruns (with a particular
focus on pharmaceutical prices, costs to the state of private practice in public
hospitals, salary levels and medical card costs)
First phase of the free primary care policy (GP visit cards for those on the Long
Term Illness Scheme) delayed
DoH increased public hospital inpatient and prescription charges for private patients
DoH increased prescription charges for medical card patients
DoH decreased medical card income thresholds for over 70s
DoH announced its intention to restrict access to medical cards for the remainder
of the population through revised criteria for eligibility (legislation needed)
Government announced that the commitment to extend free GP care to those
covered by the Long-Term Illness Scheme had been dropped; an alternative
plan was being drafted
New legislation to implement reference pricing and generic substitution was
signed into law