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Doctors not on call

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The shortage of GPs would be alarming if people had not already got used to the idea of lengthy waits for appointments. Often, and increasingly, the visits are needless because no decision will be made anyway unless you see that very expensive consultant you are referred to and so on.

I spoke with a GP in a rural town a year or two ago and he told me what fascinated city medical students working with him for a stint was the decisions he made and the range of hands-on stuff he did, from stitching up to sometimes having to deliver a baby.

Doctors no longer do that kind of work, let’s face it. Nurses do more and more of the hands-on stuff. Now care and nursing assistants are doing some of the stuff nurses once did. Another category below the care assistants will have to be found when the points for the care assistants course goes up. And on, and on, and on. Soon nobody will be doing anything anyway – and we may as well stick to Dr Google.

I was intrigued last year to see how a rural practice in south Kerry was quite easily filled when a bureaucratic sticking plaster was removed and a Spanish doctor who was eminently qualified was allowed succeed to the post.

A Hungarian doctor is shortly to fill the Waterville position, is my understanding.  Two weeks ago, I asked the HSE where they advertise GP posts. I asked if they did so in line with EU rules on works contracts, which means that public contracts for goods and services over a certain value would have to be advertised across Europe in the Official Journal of the European Union. You can still advertise in the journal even if it is under the contract price, is my understanding.

 

The answer I got surprised me. The HSE has always argued that it advertises widely, tirelessly and “internationally” for GPs. Which I have no doubt it does. Except it is only advertising widely and tirelessly in Ireland and the UK. “What?” I asked. “You can’t be serious!”

 

Yes. The HSE is a depressingly serious organisation. Now, I do not keep a very close eye on the UK, I have little interest in the place, but even I know there is a dire shortage of GPs all over the UK. There is a dire shortage here. Full marks for the HSE then.

Meanwhile, this is the reply I got to my question on how GPs are recruited and advertised for:

The purpose of our recruitment is to ensure that eligible patients in the GMS scheme receive quality general practitioner medical services. Cork Kerry Community Healthcare locally and the HSE generally are fully aware of the need to promote and advertise all vacant permanent GMS panels both nationally and internationally. The standard practice is to place an advertisement in the Irish Medical Journal, the British Medical Journal, as well as national newspapers. If the first advertisement campaign is not successful it is repeated.

And there you have it.

The HSE also said the same job specification applies to all GP posts, whether the applicants are from within or outside Ireland. This ensures that all successful candidates are fully trained and experienced for the role.

They went on to tell me of the general requirements, which include ability to speak English.

Should an applicant meet all these requirements, be they Irish or otherwise, they would be considered for interview and appointment.

The bottom line in all of this is the HSE is not advertising Europe-wide for GPs. And if it did, it might well have better luck. The question is: why isn’t it? And why arent't GPs here encouraging such a move?

Meanwhile, despite the dire warnings about all the GPs who are going to retire in the future, when we might all be dead anyway, the HSE tells me, “as of this moment” there is only one area vacant, in Waterville, Co Kerry. An appointment date of early May for the new permanent GP has been agreed.

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O’Donoghue planning National Rally Championship campaign

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Killarney’s Colin and Kieran O’Donoghue claimed victory in the Modified section of the Killarney Towers Hotel Killarney Historic Rally, delivering a controlled run in their Ford Escort Mk2 to secure Colin’s second win in the category and Kieran’s first.


At the finish ramp outside the Plaza Hotel on Saturday evening, Colin O’Donoghue confirmed he is considering a step into the Triton Showers Motorsport Ireland National Rally Championship next season.

He said he plans to travel to Mayo in March to see how the opening round suits before making a decision.

O’Donoghue set the fastest time on all nine stages to secure the win over second-placed Chris Armstrong/Conor Smith, also in a Ford Escort.


Third place went to Gary McPhillips and Conor Mohan, 17.9 seconds further back in their Escort.


The Modified section also featured the battle for the Carrick Cup, awarded in memory of Mike Gaine to the fastest Kenmare-based crew over Moll’s Gap.


This year it went to Tommy Randles/Darragh Lynch, who set the pace among the local contenders and finished 35th overall.

Randles, a long-serving club official, has hinted this could be one of his final competitive outings.


The best Kerry Motor Club crew was John Michael Kennelly / Dylan Harrington, who took fifth overall in the Modified division.

Dave Slattery / Denis Coffey continued their strong season with 13th overall (Class 6, 4th), while Hugh McQuaid and Rathmore school teacher Declan Casey placed 15th overall and sixth in Class 6.

Other locals included Seán Enright / Kevin Doherty who were Class 3 winners on the recent Thomond Rally and backed that up here with another steady finish in 26th.


Tadhg O’Sullivan /Frank Byrnes, Seán Hartnett/Kieran Doherty, Raymond O’Neill/Jason O’Connor, Cyril Wharton/Donal Falvey and Ray Stack/Gene Stack brought their Escorts home safely inside the top 40.

Gary Healy/Niall Myers, switching from a Civic to a Toyota Twin Cam 20V, took third in Class 5.


Paudie O’Callaghan/Daniel Murphy brought their Starlet home fourth in Class 4.


Noel O’Sullivan/Nicholas Burke, one of the few crews to have contested every Historic Rally since it began in 1996, finished 50th overall.


Killarney father-and-son team Tom and Mark O’Sullivan completed the demanding event in their Peugeot 205 GTi.

Representing Kerry Motor Club, Ken McKenna / PJ O’Dowd reached the finish in their Peugeot 205.

Kevin O’Donoghue / John McElhinney used Super Rally to return to the stages after mechanical trouble, as did Kenmare’s Shane McCarthy / Eamonn Creedon who were among several crews targeting future Carrick Cup success and completed their Honda EG6’s run under Super Rally as well.

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Kelly wins Historic but Duggan’s heroics will live long in memory

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Rob Duggan and Ger Conway produced one of the standout drives of the Killarney Towers Hotel Historic Rally on Saturday night, delivering a flat-out run over the Moll’s Gap night stage that will go down as one of the most memorable attacks in the event’s history.


The Ford Escort crew started the final test in third place, 34.7 seconds behind rally leaders and eventual winners Donagh Kelly and Rory Kennedy. With darkness falling Duggan and Conway went on the attack and were visibly committed from the start of the 18.6-kilometre stage.

The pair barely lifted on the climb and descent of the Gap, taking 29.5 seconds out of Kelly/Kennedy and reaching the finish line on the bumper of the leading BMW.

The effort was not enough to overturn the deficit, but it was a performance that will be talked about for years among local rally fans.

Duggan, the defending Modified champion, switched into the Historic division for the weekend after an opportunity arose to drive a full historic-spec Escort for the first time since 2019.

While disappointed to miss out on victory, he said he was satisfied with third overall on his return to the category.

Duggan said afterwards he was “happy to be back in a full historic car” and satisfied with third place, even if the final charge fell short.


Their result came 40 years after another famous piece of Moll’s Gap folklore, when Billy Coleman caught and passed his Opel team-mate Austin MacHale in similar night-time conditions, a comparison not lost on long-time followers of the event.


The late drama came after early favourites Kris Meeke and Noel O’Sullivan retired before the final run.

They had led the rally from the opening stage and built a cushion of one minute 19 seconds but that advantage disappeared when their MATS-prepared BMW M3 developed engine problems on the first run down Moll’s Gap.


That cost 43.5 seconds and while they limped back to service in Kenmare the engine was beyond repair and retired from the rally lead just before the final test.

That handed control to Kelly and Kennedy, who had been managing differential trouble earlier in the day.

Starting the night stage with 19.2 seconds in hand over John O’Donnell and Paddy Robinson, the Donegal crew held on to win by 1.5 seconds, securing back-to-back Historic Rally victories.

The result was also significant for Kennedy, who marked the drive with a tribute to the late Bertie Fisher.

Kennedy and Fisher won the Rally of the Lakes in 1990, also in a BMW M3.

O’Donnell and Robinson were another Donegal crew to impress. They set consistent top three times throughout the Kenmare loop and moved ahead of Duggan after SS3. Their run on the final stage was solid and enough to secure second place overall.

Their margin over Duggan ended at 3.7 seconds.


World Drift star Conor Shanahan, partnered by Andy Hayes finished fourth overall in his BMW M3.


This was Shanahan’s best result yet in historic rallying in what only his fifth start ever in the discipline.


Despite a moment on stage seven where they rubbed an Armco barrier protecting a lake edge the young Cork driver gained confidence as the day progressed and moved ahead of Fergus O’Meara on the repeat loop.


O’Meara and Brian Duggan finished fifth overall after a steady day that included an off-road moment on SS6.

The local man had been running fourth early in the rally but slipped back behind Shanahan after his excursion.


Stephen Greaney and Jonathan Folan brought their Toyota Corolla WRC home in sixth.
John Bonner / John Michael O’Donnell were the next-best Escort pairing, taking seventh overall and first in class after a solid, mistake-free run.


Michael McDaid and Denver Rafferty were close behind in eighth overall, just 8 seconds off Bonner’s pace.


Neil Williams with local co-driver John Falvey, another strong Escort crew finished ninth overall in what was Falvey’s first Historic rally finish.


Williams had been expected to challenge for the class win, but time lost in the first loop left him with too much to recover on the afternoon pass.


Tommy McDonagh and Paul Murphy completed the top ten 10 in another Ford Escort.

Belgian legend Patrick Snijers, driving alongside Davy Thierie, finished 11th in another M3. Snijers was competing on the event for the first time.

An ill-handling car in the morning cost valuable time but he was much more on the pace in the afternoon.


Alan Ring’s Subaru 555 retired on the final run with a gear-selector issue, only a few hundred metres from the finish.


It was a busy week for local BMW dealer Paul Ahern, who finished the rally in 27th overall with co-driver Kieran Murphy and fourth in the F4 class in their BMW M3.


Ahern also played a major role off the stages, hosting Friday’s triple BMW M3 E30 unveiling at Aherns BMW in Castleisland, where the MATS-built cars of Kris Meeke/Noel O’Sullivan and Shanahan/ Hayes were revealed to the public in one of the standout pre-event showcases

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