Professor Fergal Malone:

Perinatal hospice care is a very well developed concept, but like all aspects of the health care system, it is subject to limitations on resources. It is not a surprise that there would not be similar resources around the country. Some aspects of perinatal hospice care are quite specialised. The HSE has recently published bereavement standards in which they are trying to make clear the minimum standards for personnel required to help and support families who are following that journey. It will allow hospitals to measure themselves against those standards. Where it is clear that there is a deficit in numbers of personnel, at least we will be able to address that issue. I would not go so far as to say it is equal around the country; it is not.

Providing non-directive counselling is part of one's professional training. We train midwives and obstetricians and show them how to leave their own opinions at the door, to not reveal their own personal viewpoints. It can be hard as we are all human, have our own sets of beliefs and, as Senator Rónán Mullen said, values. They are real and heartfelt, but when dealing with a patient without knowing what her value system is or her moral, religious or ethical viewpoint, our value systems and views have no place in the discussion. Training is required and we provide that training for our staff.