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You<br />

Section<br />

National Medical Card Unit<br />

PLAYING YOUR<br />

CARDS RIGHT<br />

andling almost 20,000<br />

pieces of mail and thousands<br />

of telephone and email<br />

H<br />

queries each week, you could<br />

say the National Medical Card<br />

Unit (NMCU) is used to being busy.<br />

The unit is on the frontline of the health<br />

service and, despite the service often being<br />

a political football, its large team at the<br />

base in Finglas, just off the M50, is more<br />

used to kind words of thanks from grateful<br />

clients.<br />

“We treat each application with empathy<br />

and compassion. We are not here to stop<br />

applications, we want to help people and get<br />

them over the line. We see all the problems<br />

that people are faced with – marriage breakups,<br />

vulnerable children, homelessness, and<br />

do our very best every day to help them,”<br />

said Hugh Glynn, a member of the new applications<br />

team.<br />

“It is particularly heartbreaking to see the<br />

current homeless problem. Obviously it is<br />

more difficult logistically when somebody<br />

doesn’t have an address but we work with<br />

Focus Ireland to make sure that the homeless<br />

person has access to their medical card<br />

and would prioritise these cases.”<br />

He explained that there was a wide age<br />

range of the homeless people they help,<br />

with a lot of older people nearing retirement<br />

age being forced out of their homes at<br />

present.<br />

“We are on the frontline here and see it<br />

all. The rent increases have seen so many<br />

without a roof over their head. But we take<br />

rent increases as part of your outgoings<br />

when assessing people and take it all into<br />

account. We really take the client’s needs<br />

seriously, treat them with empathy and that<br />

comes from the bottom up. It really makes<br />

you proud to work here,” said Hugh.<br />

Increase<br />

THE Primary Care Reimbursement Service<br />

and National Medical Card Unit manages a<br />

wide range of primary care services across<br />

12 community health schemes, including<br />

the Medical Card Scheme, to a population of<br />

over 3.66 million people. These services are<br />

provided by more than 7,000 primary care<br />

contractors and involve 77 million transactions<br />

annually, with an associated expenditure<br />

of €2.397bn.<br />

As of December 1st 2015, there were<br />

1.729 million Medical Cards and 409,000 GP<br />

Visit Cards in circulation. When compared<br />

to December 1st 2005, there has been an<br />

increase of 573,273 people with eligibility<br />

under the GMS Scheme, which is 33.2pc<br />

more than the 2005 level.<br />

The unit is headed by Siobhan McArdle,<br />

Head of Operations.<br />

The first floor of the building is the first<br />

point of entry for the thousands of letters<br />

that are delivered daily. Each envelope is<br />

We look to find the<br />

balance of needing<br />

to do everything in a timely<br />

fashion and meeting our<br />

targets while not affecting<br />

quality or customer service.<br />

We work to ensure that<br />

applications, when complete<br />

are processed within 15<br />

working days. Over 95pc of<br />

applications are processed in<br />

10 to 15 working days<br />

MAIN: Thousands of applications arrive every week.<br />

OPPOSITE PAGE, TOP LEFT: The IT team at work;<br />

TOP RIGHT: Files are sorted in the store room.<br />

ABOVE LEFT: Kate Halliwell ABOVE RIGHT: Catherine<br />

Kane, Christine Smyth, Kate Halliwell, Ann Smyth<br />

and Siobhán Kelly. PAUL CONNOR PHOTOGRAPHY<br />

14 | health matters | spring 2016

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