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Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (22 May 2019)

Kate O'Connell: I have a few more brief questions. I have raised the issue of folic acid with him previously. Have anything been done to provide free folic acid supplementation for pregnant women and babies? Ireland has the highest rate of neural tube defects. The incidence here is increasing at greater rate than anywhere else in Europe. There is a cost in terms of money and on families but providing...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (22 May 2019)

Kate O'Connell: In terms of education, the Minister needs to work the Minister for Education and Skills, Deputy McHugh, on this. If the message in the past week has been corrupted to such an extent, the messages our young people are getting are subject to corruption. There is work that could be done in the early stages of secondary school where the facts are put out. Children today are good at accessing...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (22 May 2019)

Kate O'Connell: Delivery of this through the education system is key. I apologise for interrupting the Minister.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (22 May 2019)

Kate O'Connell: Is there provision in the budget for the folic acid? Is it the folic acid the Minister meant as part of the women's health action plan?

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (22 May 2019)

Kate O'Connell: I thank the Minister.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: I thought that was the first matter for discussion. My target is to conclude by 12.30 p.m. I hope I will not go over ground that has been covered. Reading the opening statement last night, governance and accountability in the health service stood out. I sit on the Joint Committee on Health and the Committee of Public Accounts which have discussed CervicalCheck and the national...

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: I asked about international best practice.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: Why would anybody do that? Dr. Finnerty has been around a long time - those are not my words. Why are they doing this if it is internationally seen as not ideal and if we have a pilot that says we have a better way?

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: Hundreds of people are in high-support HSE units. Is their progress not being quantified? Do those people not have care pathways? Someone mentioned that there was an absence of care pathways. Does that even apply to the people in high-support HSE care? Do they not have care pathways?

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: Even if a care pathway was put together and it recommended rehabilitation in a given way, the services do not have the people to implement. Is that the case?

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: A pathway will set out how to fix it for a person but then we cannot do it for them.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: Those people have to stay where they are.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: The Act refers to a responsible, accountable person, but there are no actual qualifications set out for that person, nor are parameters set out for who they are. Is Ms Smyth saying that they do not have to be from a medical background?

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: This person can be anywhere on the governance structure within the HSE.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: A named person.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: The person actually making the decision could be below the pay grade-----

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: It is very poorly thought out.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: That is reassuring.

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: Can I ask a question on that?

Joint Oireachtas Committee on Health: Developments in Mental Health Services: Discussion (29 May 2019)

Kate O'Connell: Is work being done by the College of Psychiatrists of Ireland to study other populations and approaches in places like Portugal, for example? Is anyone looking at the Portuguese model and the impacts on the population? Do the witnesses have any information on that? Is it their professional opinion that if there were magical powers within a particular compound that has been around for...

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