Dr. Ray Walley:

We do not have the resources to monitor the HSE-PCRS computer, to know what they are doing. They are supposed to err on the side of safety and caution. Generally, we find out that a person has lost his or her card when it has happened. The system should be designed to inform doctors so that we can then extend the card. There is no fail-safe mechanism in place and such a policy in the system would make sense. However, the problem is we are not aware before a patient has lost the card.