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Top-up payments for doctors to be abolished by HSE


National Maternity Hospital. Photo: Damien Eagers

National Maternity Hospital. Photo: Damien Eagers

National Maternity Hospital. Photo: Damien Eagers

TOP-UP allowances to senior doctors in voluntary hospitals in Dublin are to be abolished within three months on the instructions of the HSE.

These top-ups include amounts ranging from just over €30,000 a year down to €13,500 a year for senior staff.

The HSE has rejected permission to continue top-up payments for ten senior doctors in the St Vincents Hospital Group which operates the St Vincent's Hospital in Elm Park and St Michael's Hospital in Dunlaoghaire.


The payments are part of the hospital's "consultant-in-management" payments which management says have been in place since long before the HSE was set up.

The Health Executive is also understood to have rejected applications by voluntary hospitals and health agencies to continue paying top-ups to a group of administrators.

In the case of the National Maternity Hospital in Holles Street, it is believed the HSE has refused to sanction continued payments above the normal rate for a number of non-medical senior staff.

Similar submissions made by Tallaght hospital to keep paying certain top-up allowances have also been rejected and in St James' Hospital the HSE rejection of payments for some staff is being "carefully considered".

The HSE is understood to have received more than 202 applications from the hospitals and health agencies to continue to pay unapproved top-up allowances or additional payments over and above official pay scales.

These include €30,000 for a director of education and a research centre, €21,500 for a senior consultant in palliative care, €19,777 for the chair of a medical board and medical executive, and €16,600 for the honourary secretary of a medical board.

They also include amounts €16,600 for a chair of physicians and €13,500 for an intern tutor.