Results 39,861-39,880 of 49,836 for speaker:Stephen Donnelly

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: In the spirit of questions and answers and I appreciate that the Deputy has a question, so I will be short. I hear and agree with the Deputy and say that should have happened but it is important to state that it was and remains the intention that would happen, but that it would happen directly with the reviewer. In addition to that, yes, it should have happened with the Department and with...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: I am out of time, but may I take a-----

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: The Crumlin review will be published. The families are being engaged with tomorrow. Crumlin hospital did this review off its own bat given the concerns raised in Temple Street. The very clear advice I have from CHI is that that review did not show higher return rates or complication rates than would have been expected internationally. Yes, we will publish the broader review. We will not...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: That is right. Representatives of CHI will appear before the committee on Thursday. The advice I have is that Crumlin hospital took it upon itself to do a similar review on the basis that concerns had been raised in Temple Street. The advice I have is that it was not based on concerns being raised and that it did not find an unexpected level of complication.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: I believe it was commissioned around September of last year and I believe 11 cases were involved.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: This is one of the core questions we need to get to the bottom of. I am deeply frustrated that I do not yet have a satisfactory answer because I have posed this question to Children's Health Ireland on more than one occasion, as have my officials. We know there has been a very large investment and a really fantastic clinical workforce has turned that money into far more surgeries happening....

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: It will be part of Mr. Nayagam's review. The third objective is "To assess the governance of the Paediatric Orthopaedic Surgery Service and to make findings, [that is right across the board] and to make any necessary recommendations in regard to improvement in governance including quality, safety, outcomes and performance metrics." Dr. Colm Henry and I have spoken directly on this. I have...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: I will double check the exact details, but my understanding is that it was paused last November. It is still paused and the last kyphectomy procedure happened in the middle of last year, perhaps in July 2022. It was officially paused in around November, but we can get the Deputy the exact dates.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: I will get the Deputy exact details. I do not have it in terms of individual surgeries that are being recommended for particular patients. However, the reality is that we have two surgeons who do complex spina bifida care and it is done in Temple Street. One of those surgeons is currently not doing those surgeries. Will that have an effect and is it already having an effect on the time...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: Yes, I have. The clinical director is very clear that in CHI and in Temple Street additional communications and additional protocols were put in place. As they would say very clearly, there are already numerous protocols in place in every operating theatre in the country to ensure things like this do not happen.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: I certainly can but there is no need because that exact process is already built into the review.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: Let me state clearly that it is absolutely the intention and has always been the intention that the families directly meet with the lead reviewer. The terms have been crafted such that he adjusts them depending on what they say. As I said to Deputy Cullinane earlier, with the benefit of hindsight, that process should have happened twice. It should have happened before the draft terms were...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: Yes.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: The advice I have right now is that they do not believe so but we will double check. That review was done for a small number of children in Crumlin.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: I am sure we can.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: I thank the Deputy. This is exactly what the additional review is looking at right now. Of course I have spoken to CHI and the HSE. My officials are engaged. I have a view on some of those questions. However, I am very much of the view that we have to establish the full facts. We have to establish who, at a management and a clinical level, knew what. This relates to several questions....

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: The framework timeline is four months. I ask the Deputy to bear with me. When I heard that, I made it clear to CHI that I and the Oireachtas would not wait for four months to get answers to these questions. I have asked for it to be accelerated for that reason.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: CHI is carrying out that review. I beg the Deputy's pardon. Sorry. It is an external review.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: The advice I have is that people from Cork University Hospital and other procurement experts are doing it. I will provide details on exactly who is doing that.

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

Stephen Donnelly: It is an external review that, in the first instance, I believe will be reporting to CHI and the chief clinical officer of the HSE.