Oireachtas Joint and Select Committees

Thursday, 28 September 2023

Joint Oireachtas Committee on Health

Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland

Ms Eil?sh Hardiman:

Yes. The measures are there. We have increased the awareness of them and have encouraged them to make sure everybody is aware of the processes that need to be put in place.

If I may respond to Deputy Durkan's questions as to when this happened and how fast we responded, we first became of aware of this in July and it was Deputy Paul Murphy's parliamentary questions that raised the matter for us. Once we became aware of it, we acted straight away in getting into the human resources process. I cannot go any further than that, but that is where we acted. In these processes, what happens is that when you discover an incident or something, you go through a preliminary investigation because it is part of the serious incident review process. We undertook that immediately. We brought it, by the first week of August, to our serious incident review group. We determined that, obviously, it was a serious incident and warranted investigation. Then you set up the terms of reference and the teams to undertake that in discussion with the HSE. All of that has happened in a very timely manner. We also communicated it directly to the HSE and up through the patient safety protocol process, which is the process required to make sure there is a communication. We communicate to the HSE through that patient safety protocol process, and all of that happened on 4 August. We also, of course, informed the regulator, the HPRA, as a regulator of devices. It was informed on that day also.

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