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Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: That brings me to the question I was going to ask. Would it be Ms O'Shea's view that a sequential change to the legislation as possible here? Ms O'Shea referred earlier to section 9, 10 and 11. She recommends that "the Department of Health should take a collective leadership approach, involving health care professionals, patient representatives, lawyers and if required, ethicists, to...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: Is it Ms O'Shea's view that this process could happen in advance of any legislative change?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: On sections 9 and 10, Ms O 'Shea stated, "The report further recommends that a collective leadership approach should be taken to assist the Department of Health with developing guidelines".

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: So, it is partly legislative change but Ms O'Shea is also citing the need to improve guidelines and supports for medical professionals.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: Could those difficulties be resolved through improving guidelines as opposed to-----

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: I hear that. I just want to make a point because obviously there is political pressure on all of us to act on the report. That is understandable and correct. In my view, the recommendations stand on their own merits. The Government of the day has to make decisions on how to begin to implement the recommendations in the report. The sequencing of it is really important for me. Am I right...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: I will come back to some of the operational issues. In the remaining time I have, I will pass over to Ms O’Shea. What would she say to the Minister for Health and the Government about those geographical barriers, the operational challenges that exist whereby five years on from the Act coming into being, women still cannot access services in some parts of the country? What are the...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: Thank you.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: I wish to speak briefly. I will not take the full five minutes as I know that the Chair is under pressure. I just have two quick questions. The first is a very important point on the research which underpins Ms O’Shea’s report because many of her recommendations are based on the UnPAC study and other elements of research. From her perspective, as the author of the report,...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: She would fully stand over all of the research. She found it fair, inclusive, unbiased, impartial, and so on. On conscientious objection, the potential conflict was asked about earlier with regard to a patient’s right to have access to a service and then conscientious objection arising. Is there a clash between both of those, particularly in circumstances where a conscientious...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

David Cullinane: I thank Ms O’Shea.

Respite Care Services: Motion [Private Members] (30 May 2023)

David Cullinane: I move: That Dáil Éireann: notes that: - respite and short break services play an essential role in supporting family carers and people with disabilities, yet three quarters of families get no respite at all; - there is a significant level of unmet need in terms of respite care, with less than 5,200 people receiving a respite service in 2022, despite there being an estimated...

Health (Regulation of Termination of Pregnancy) (Amendment) Bill 2023: Second Stage [Private Members] (25 May 2023)

David Cullinane: It is important that we have time to debate and discuss the provision of abortion services in the State following the publication of the independent review of the operation of the Health (Regulation of Termination of Pregnancy) Act 2018 that was published last month. In 2018 people voted for women to have access to services. The provision of termination of pregnancy services was endorsed by...

Written Answers — Department of Health: Healthcare Infrastructure Provision (25 May 2023)

David Cullinane: 256. To ask the Minister for Health the current status of his plans to expedite the construction and opening of the proposed additional 1,500 rapid build of hospital beds; the number of construction companies which have provided expressions of interest in tendering for the construction of the capacity in the period proposed; the identity of the sites the Health Service Executive has...

Written Answers — Department of Health: Healthcare Infrastructure Provision (25 May 2023)

David Cullinane: 257. To ask the Minister for Health his plans to expedite the provision of additional step-down care and rehabilitation beds to reduce the number of delayed transfers of care patients, which consistently total approximately 600, in order to ensure the efficient use of hospital beds; the number of additional step-down care and rehabilitation beds funded and opened in each year since the start...

Ceisteanna ó Cheannairí - Leaders' Questions (24 May 2023)

David Cullinane: A problem you created.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

David Cullinane: I welcome Mr. Gloster. I know of one case of a 78-year-old woman who arrived in an emergency department, referred by her GP. She arrived last week into University Hospital Waterford at 3 p.m. with her daughter. She was triaged very quickly but was then left on a chair for hours on end. Her daughter had to leave her in the early hours of the morning because she was working the following...

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

David Cullinane: What would Mr. Gloster say to the families who experience that every day? It is like Groundhog Day. We are having the same discussions all the time but this seems to be the norm. The trolley figures range from somewhere between 500 and 600 every day. It has almost become normal. How are we going to change that? I would just pick up on the issue of the seven-day service. I understand...

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

David Cullinane: My time is very short.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

David Cullinane: That is really welcome. When I hear the word "mandate" I think that is exactly what we need to hear. Where there is best practice, it needs to be mandated. We need to move away from talk of "encouraging" and saying we will talk about something and examine it. Where things need to be done, they need to be done and we need decisive leadership. I welcome the fresh approach Mr. Gloster is...

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