Over 115,000 local GP consultations for IPAS and Ukrainian residents in just 2 years

Independent TD for Offaly, Carol Nolan, has said newly released HSE figures showing 115,262 GP consultations for International Protection and Beneficiary of Temporary Protection residents between January 2024 and November 2025 expose a system that is placing enormous pressure on already overstretched local GP services.

Deputy Nolan said the figures, which were revealed to her following a series of parliamentary questions, show that these consultations were delivered through 13,125 GP sessional clinics, which are temporary, part‑time clinics staffed primarily by local GPs contracted by the HSE through its Refugee and Applicants Seeking Protection (RASP) Service Delivery Model.

“When more than 115,000 GP consultations are being delivered in less than two years, and when those clinics are being staffed by the very same local GPs who are already struggling to meet the needs of their own communities, then it is absolutely clear that the Government has created a parallel healthcare system that is completely unsustainable,” said Deputy Nolan.

“Every hour these doctors spend in a sessional clinic is an hour not available to their own patient lists. That is the reality the Government refuses to acknowledge.”

Deputy Nolan said her PQ’s also exposes a complete lack of transparency around healthcare provision in IPAS centres.

The HSE was unable to say which centres have medical rooms, what staff‑to‑resident ratios apply, what hours healthcare staff are available, or whether any centre has 24‑hour medical cover. It also provided no centre‑level breakdown of demand, despite the scale of the GP activity reported.

Deputy Nolan also highlighted the HSE’s admission that no review has ever been carried out on healthcare staffing adequacy, continuity of care, or emergency response capacity in IPAS centres:

“These replies totally obliterate the nonsensical line that has been parroted by NGO’s and indeed very many politicians and commentators that there has been no meaningful impact on service provision following the extraordinarily high numbers of people who have the country for no legitimate reason in the last number of years.”

“I will continue to shine a light on these issues, because I am absolutely convinced that a massive ‘perception fraud’ has been perpetrated on the Irish people. They have been told to ignore the reality they see with their own eyes or the very least to shut up and don’t talk about it. That level of egregious gaslighting is coming to an end, because I for one will not tolerate it,” concluded Deputy Nolan.

ENDS