Following this legislation, the Health Service Executive was established and is responsible for providing health and personal social services to the population. The public health system has a number of on-going issues which could have an impact on primary care services. These include long waiting lists; over capacity on hospital beds; patients awaiting admission on trolleys in the emergency departments; moratorium on staff recruitment leading to staff shortages. Ireland’s two-tier health care system has failed in many respects to deliver adequate, fair, and equitable services to meet people’s needs [31]