Róisín Shortall (Dublin North West, Social Democrats) | Oireachtas source

It is a fairly basic problem if there is no person with an overview and a handle on the situation. I will pursue that. The other aspect of the issue seems to be that there is clinical disagreement about the right approach to take. I do not know whether that is a genuine clinical difference of opinion or if it is a result of the fact it is cheaper to take the approach of partial removal and not cover the treatment abroad scheme, the costs of which are substantial when travelling to St. Louis is involved. Is there a general acceptance of the best kind of treatment on a WHO level or at a European level? Is the clinical thinking that the best approach is full removal?