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Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: Therefore, the more complex it is, the higher the risk to the patient and the higher the risk of errors arising, I presume.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: At what stage do the reviews take place? For example, when we identified there was quite a high level of infection rates, surely the team would review it. Is it once a week or once a month?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: We have identified quite a number of cases. In one case, for instance, a child had to go back into theatre on 33 separate occasions. Surely the checks and balances are about reviewing and making sure errors did not arise. Surely the reason that infections were rising was identified.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: When quite a large number of patients are having infections, is it adequate to have a review once a month? Should it not take place far more frequently?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: In doing that review, would there be consultations with teams from outside the jurisdiction as regards what the hospital may be getting wrong and what they are doing in a different jurisdiction?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: I am talking about outside of the hospital, for instance, where Ms Kelly had identified that there had been quite a number of difficulties in cases which were being reviewed. Was there consultation at a very early stage with outside people who were independent of the hospital involved?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: Was it then identified with regard to a change of process to ensure that the infection rate could be reduced?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: From figures given to us today, there are around 15,500 theatre procedures. What percentage of those are major operations and what percentage would be day care or minor operations?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: Returning to what occurred here, where there was something used which was not authorised, how does the hospital administration know that there is not somebody else doing something similar within any one of the hospitals at the present time?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: But Dr. Goldman believes that there should be a better structure of review in respect of individual consultants. One is talking here about over 150 consultants. That is a large number. Does Dr. Goldman believe that he should have a more robust review process in place?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: In respect of all of those recommendations, can we bring forward the timeline for the implementation of all of those recommendations in that report?

Written Answers — Department of Education and Skills: Special Educational Needs (28 Sep 2023)

Colm Burke: 183. To ask the Minister for Education and Skills further to Parliamentary Question No. 370 of 20 September 2023, the reason that her Department refers to the fact that a maximum amount of home tuition hours for primary school pupils has been allocated to a pupil, as the student in question (details supplied) is a secondary school student; if further hours could be allocated on this basis and...

Written Answers — Department of Justice and Equality: Citizenship Applications (28 Sep 2023)

Colm Burke: 220. To ask the Tánaiste and Minister for Justice and Equality the current status of an application (details supplied) for citizenship; when a decision is likely to be reached, in view of the fact that the application was submitted over two years ago; and if she will make a statement on the matter. [41958/23]

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Colm Burke: For a review of surgery, and this is quite complex surgery, is there any referring back to make sure? For instance, we identified quite a number of operations with a high incidence of infection. At what stage does CHI start investigating why that is arising?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Colm Burke: I thank the witnesses from the HSE and the Department of Health for their attendance and for the progress that has been made. There has been a huge increase in staff. It is a question of retaining those staff right across the board. People here may not be aware of a really difficult issue, which is to do with radiation therapists. My understanding is that there are a number of units...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Colm Burke: There is an issue in regard to long-term planning. My understanding is that the number of training places for the entire country is very small. Has there been engagement with the Minister, the Department and the higher education sector to discuss increasing the number of training places for radiation therapists? Even if we start increasing the numbers now, it will take four years to...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Colm Burke: I have a question on long-term planning in respect of staff, particularly consultants, retiring from the HSE. My understanding is that much of the effort to recruit someone to replace a consultant starts only after that consultant has sent in notice that he or she is leaving three months or six months from that date. I have raised this issue on numerous occasions. If we look back to the...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Colm Burke: My question is quite specific. Where there is an awareness that someone is coming up to the retirement age of 65 or 66, whichever it is, is the HSE putting in place a plan 12 months in advance to ensure that consultant is immediately replaced? Around the country at this time, there is a significant number of locum consultants right across the board, and likewise with nursing staff. My...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Colm Burke: I have not seen any evidence of that at any stage.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Colm Burke: May I have the figure for locums currently working in HSE hospitals right across the board?

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