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"Feedback from our members highlighted the considerable lack of awareness among GPs and patients that they have the right to seek healthcare in another EU country," he says.

"This has resulted in low levels of uptake." He adds that the scheme has potential to alleviate the pressure on hospitals and cut waiting times, Dr Jordan, a practising GP, said he himself didn't fully understand the initiative until earlier this year.

In 2016, just over 5,500 nationwide inquiries were received by the CBD office in Kilkenny, but these translated into just 1,303 claims for reimbursement - so, as Donohoe points out, just 23pc of the queries actually transposed into people who ultimately sought treatment under the directive.

"I was in very bad pain; I was barely able to move with my left leg." So the 75-year-old Newgrange, Co Meath resident went to his computer and researched the Cross Border Healthcare Directive on the internet.Other reasons for low take-up include a belief that the scheme is "too good to be true", and a significant lack of awareness about it, both within the general public and amongst GPs, she says, even though the service has written to every GP and every consultant in the country to inform them about CBD.This concern is underlined by Dr Andrew Jordan, Chairman of the National Association of GPs, who said that in July the organisation announced its intention to undertake an information drive highlighting the benefits of the Cross Border Healthcare Directive to members and patients."We have 3,000 GPs in Ireland and if every GP only referred two or three patients that would be up to 9,000 patients off the waiting lists, so it has the potential to make a huge impact on waiting lists for surgical care." π The CBD allows for patients that are normally resident in Ireland and availing of public health services to be referred to and avail of healthcare funded publicly in Ireland in another EU/EEA membe state.The UK withdrawal from the EU could affect patients being able to access care in NI and the rest of the UK under this directive.

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