Results 39,901-39,920 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: I would suggest to you, Deputy, if I may, because you have just said something that really-----

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

Stephen Donnelly: -----is not very helpful, and I will respond, if you do not mind. Mr. Nayagam was specifically identified by the chief clinical officer. It was important to the chief clinical officer that this would not be someone who was just a spinal orthopaedic expert. It was important that the totality of paediatric orthopaedics was reviewed. It was important that was done by someone who has broad...

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

Stephen Donnelly: I just want to be very clear on this, if I may. This is important, because Deputies have quite rightly spoken about trust. The reviewer does have the clinical expertise to conduct this review. I most certainly do 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 a very fair question. The question around generalists, specialty, subspecialty as well as the amount of work and patients in that is a very important one. It is one that the reviewer will look at and provide advice to me and, in turn, to the Oireachtas on.

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

Stephen Donnelly: What I can say is that he has not been suspended. There are clinical protective measures that have been put in place, including as part of the consultant contract. Some of them are contained in the reports. For example, having a second surgeon involved when there is complex surgery is one of them. The surgeon is currently not doing any clinical work, but it is important to say, and I do...

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 absolutely clear, and we do not need any report to tell us this, that non-medical materials should not have been used. That is a given. The Irish Medical Council is in a formal process. That is a legal process when it comes to the review of clinicians. We have to let that process go through.

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

Stephen Donnelly: So, we know the rate of complication is higher than would have been expected internationally. However, there have been no findings at this time that have been made against this surgeon.

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. What I can tell him is this: the springs that were used were not authorised for medical use, which is very serious. We do not know - the review is now establishing this - how that happened in terms of procurement and getting into theatre. There are protocols for checks on everything that is used in theatre. Exactly how all of that happened is being established right...

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. It is a very fair question. The answer to that is that there are extensive patient safety and clinical governance mechanisms in place in all our hospitals to do with every procedure. In this case, two serious incident reviews have been kicked off. They will be reporting very shortly. They have done extensive work on what happened in two particular cases. Concerns...

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 exactly what two reviews are looking at – an external review commissioned by CHI and an external review commissioned by the chief clinical officer, with the reviewer reporting to the chief clinical officer and meeting me regularly. This is exactly what we need to establish.

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

Stephen Donnelly: There was an adverse event reported in July and there was an adverse event reported in, I believe, September. Let me double-check.

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

Stephen Donnelly: Does the Deputy mean when was the serious incident review kicked off?

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 kicked off in July as soon as the serious incident was notified.

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

Stephen Donnelly: My advice is that Crumlin decided to examine its own caseload on the basis of Temple Street having done the same. The advice I have is that it was not kicked off by an adverse event or concerns being raised.

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

Stephen Donnelly: I beg the Deputy’s pardon for interrupting, but in case there are families listening whose children were involved in Crumlin, what Crumlin and CHI have said is that they did not find concerns through their own review.

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

Stephen Donnelly: I would need to check to see what report that was.

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

Stephen Donnelly: My advice is that it was a small note on an accreditation visit. If that is what it was, then I have not read it.

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

Stephen Donnelly: Is the Deputy referring to an implementation plan for the recommendations from the Boston review?

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

Stephen Donnelly: I just do not know to which report the Deputy is referring.

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

Stephen Donnelly: Does the Deputy mean an implementation plan of the Boston recommendations?