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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 going to take it that it is the Boston review recommendations.

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 see what the Deputy is pointing at.

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

Stephen Donnelly: Deputy, I-----

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 trying to answer the Deputy’s question.

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

Stephen Donnelly: The short answer to the Deputy's question is that the implementation plan that I am aware of refers to the implementation of the Boston report recommendations. Yes, those recommendations are being implemented at the moment.

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

Stephen Donnelly: I know that the board has been involved. For example, I am advised that the external review on the springs is reporting to the board. There is a broader conversation to be had on another day about voluntary hospitals and the level of control the State has over hospitals it fully funds.

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

Stephen Donnelly: Temple Street has commissioned an external review to answer those questions. Our external review with Dr. Nayagam is looking at those questions as well.

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

Stephen Donnelly: People would have been aware of the use of the springs. It was based on work done in Utrecht. As far as we could see, though, people were not aware – certainly at hospital level – until late July that these were not medical-grade springs. That is one of the serious questions.

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 fair to say the HPRA is concerned about what has happened. As far as we can tell, the HPRA had no knowledge of this, so this is not a lapse on the part of the HPRA. What it has stated clearly is that, if a surgeon wants to create authorisation on something that is not a mainstream medical product----

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

Stephen Donnelly: -----there is a process to do that, but that was not done in this case.

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

Stephen Donnelly: I take the Deputy's point, although I would say that the responsibility for ensuring medical-grade materials and supplies are used lies first and foremost with the medical teams and the hospitals themselves. The HPRA is the regulator and it will intervene as it deems appropriate. It is concerned that the processes were not followed in this case.

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 colleagues for this debate, which has been very useful.

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

Stephen Donnelly: Yes. There are wider issues regarding governance. This review is not just looking at the 20 children involved in this situation. The review is looking at that and at the use of non-medical equipment but he will go much wider, not just on Temple Street but across Children's Health Ireland and right across paediatric orthopaedics so that I, and all of us, on behalf of these children and...

Health (Termination of Pregnancy Services) (Safe Access Zones) Bill 2023: Referral to Select Committee (27 Sep 2023)

Stephen Donnelly: I move: That the Bill be referred to the Select Committee on Health pursuant to Standing Orders 95(3)(a) and 181(1)

Written Answers — Department of Health: Medical Cards (27 Sep 2023)

Stephen Donnelly: Medical Card provision is primarily based on financial assessment. In accordance with the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE, which assesses each application on a qualifying financial threshold. The issue of granting medical or GP visit cards based on having a particular disease or illness was previously examined in 2014 by the HSE...

Written Answers — Department of Health: Disease Management (27 Sep 2023)

Stephen Donnelly: In terms of medical expenses, this Government has put a significant focus on improving access to and the affordability of healthcare services, advancing substantial policy, legislation and investment to deliver expanded eligibility. In 2022, a range of measures were delivered including the abolition of public inpatient charges for children, reductions in the Drug Payment Scheme threshold...

Written Answers — Department of Health: Qualifications Recognition (27 Sep 2023)

Stephen Donnelly: As the Deputy will be aware, the Medical Council is the statutory agency responsible for the registration and regulation of doctors in Ireland. Any doctor wishing to practice medicine in Ireland must first register with the Medical Council. The Council is fully committed to supporting medical practitioners arriving from Ukraine and it has a dedicated webpage for Ukrainian doctors available at...

Written Answers — Department of Health: Health Services (27 Sep 2023)

Stephen Donnelly: As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Written Answers — Department of Health: Health Services Staff (27 Sep 2023)

Stephen Donnelly: Recruitment of nurses and midwives continues in line with the Government’s commitment to increasing the nursing and midwifery workforce. There are 6,568 more nurses and midwives in the workforce since 2020. Based on available evidence provided by the OECD, figures show that Ireland has the fourth highest number of practising nurses per capita in Europe with 13.4 practising nurses per...

Written Answers — Department of Health: Medical Cards (27 Sep 2023)

Stephen Donnelly: As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

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