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Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: I welcome everyone here and thank them for their presentation. I am very sorry they have had such a negative and distressing experience of the Irish health service. It raises huge questions for the HSE and the Department of Health. It is our job to take those issues up with the authorities, which we will do later. It strikes me there are two aspects to this. First, it seems the Irish...

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Is it the view of both groups that if the implementation plan were to be implemented, it would address most of the issues? Do our guests think the plan is okay or are there problems with it? Do our guests not think the plan is okay?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Okay. I had that impression from what our guests were saying. There is no named senior person who is dealing with our guests and who has an overview of this entire issue.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: 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...

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Have many of those taken place?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: I think another of our guests is suggesting private patients are not covered. Okay. It likely depends on the insurance company.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: I would appreciate that. Have any full removals taken place in this country?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: I have just one very quick question. Dr. O'Sullivan said she had seen a number of women who had significant problems and who were harmed by having the mesh removed abroad. How many such women has she seen?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Over what period did she see two?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: I presume Dr. O'Sullivan would not have had cause for contact with women who had successful removals.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Okay. So, it is just two so far. Does Dr. O'Sullivan have any idea about the Dublin clinic?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Perhaps Dr. Murphy can answer the clinical questions.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Who is the senior person responsible for service provision and policy regarding this issue?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Who sets the policy?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: From a clinical perspective, who is it?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Am I right to say that it is Dr. Murphy?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: Who is the clinical lead for vaginal mesh issues?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Róisín Shortall: There is a group of women here who clearly have been harmed and whose lives have been very negatively impacted by the treatment they received within the Irish health service. They need to be able to engage with somebody at a senior level within the HSE and there has not been that engagement. I ask the witnesses to meet them. Dr. Murphy is the most obvious person to meet them. I ask her to...

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