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Written Answers — Department of Health: Health Insurance Data (7 Nov 2018)

Stephen Donnelly: 135. To ask the Minister for Health the number of persons availing of private health insurance by age group (details supplied). [46058/18]

Written Answers — Department of Health: Ambulance Service (7 Nov 2018)

Stephen Donnelly: 140. To ask the Minister for Health the number of additional staff, emergency ambulances, intermediate care ambulances and rapid response vehicles that are required for the National Ambulance Service to meet targets set by HIQA in its 2016 capacity review in tabular form. [46119/18]

Written Answers — Department of Health: Health Services Funding (8 Nov 2018)

Stephen Donnelly: 182. To ask the Minister for Health if the almost €50 million which was earmarked for the provision of additional hospital beds and for developments for medical card patients is to be used to deal with overspending in the health service; and the way in which the €50 million was to have been assigned in tabular form [46457/18]

Written Answers — Department of Health: Health Services Funding (8 Nov 2018)

Stephen Donnelly: 183. To ask the Minister for Health if just over €200 million in health service funding for specific new initiatives for 2019 is being held back; and if so, the specific initiatives and the funding for each in tabular form [46458/18]

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: I will speak directly to the amendment because it forms part of a pattern where seemingly reasonable proposals are being put forward that then undo themselves. Informing parents is a reasonable goal but not in the way proposed for all the reasons we have discussed because it would include informing a father who raped his daughter and made her pregnant. Ultrasound scans are a reasonable idea...

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: We are being asked to address the amendment. The amendment is mandatory and forces women because it tells them they will have no access to termination of pregnancy unless we sit them through all of this, unless we tell them things the pharmacist in the room tells us are medically dangerous and unless websites have a weekly security protocol attached to them. That is what this amendment...

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: No, but I can speak to my understanding of it. There is no Standing Order that says I cannot do that.

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: That is correct, but I can tell the Chairman what I have concluded. I may not be correct but my conclusion is that there are people in this room-----

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: -----who have the experience to know that no legislature could ever accept this amendment.

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: This country has a dark history of not trusting women. Scandal after scandal has been attached to maternity care, childbirth and women's reproductive rights. Last night, we heard about a case before Mr. Justice Peter Kelly involving a doctor working in a maternity hospital. What a surprise. Comments have been made about misogyny. I am not making an allegation if misogyny but my...

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: I want to speak briefly to the section which deals with consent. It states: "Nothing in this Act shall operate to affect any enactment or rule of law relating to consent ...". Therefore, existing legislation applies. I am particularly interested in two case scenarios. One relates to where the pregnant woman is under the age of 16. My understanding is that when a woman is aged 16 or older...

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: For example, is one parent enough? If a young woman goes to her GP it is sufficient for one parent to go along with her and orally say, "I consent to this". Is that what is required?

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: We are all agreed the issue of conscientious objection is very sensitive and held very dearly and reasonably by many medics who are opposed to termination of pregnancy. Many genuine doctors, nurses and midwives throughout the country have been in touch with the Minister, me and all of us to state they have serious concerns about aspects of conscientious objection. It is incumbent upon us to...

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: Does it include pharmacists?

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: I thank the Minister, as that is really helpful. Many pharmacists will ask if they will be in a position where a woman could comes to the pharmacy seeking an abortion pill that they could conscientiously object to providing it.

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: I thank the Minister and that is really helpful. We have discussed general practice but in the acute setting, doctors, nurses and midwives will be able to opt out and conscientiously object. It is not covered in legislation and I imagine it should not be as it is an operational matter. Will the Minister speak to the concerns that some may have about concerns relating to rostering, for...

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: I move amendment No. 170:In page 17, line 11, to delete “services” and substitute “and/or out-patient services as appropriate”. Bear with me for a moment.

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: I have not discussed it. Amendments Nos. 170 to 172, inclusive, are in my name. I will discuss them together because they are all about the same issue. One was ruled out of order but the others relate to the same issue. I will discuss the technical amendment first, which is amendment No. 170. Essentially, this section makes termination of pregnancy services free and they would be...

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: That explains my confusion. I wish to be absolutely clear. Free services will apply to inpatients, outpatients and across the HSE. Is that correct?

Select Committee on Health: Health (Regulation of Termination of Pregnancy) Bill 2018: Committee Stage (Resumed) (8 Nov 2018)

Stephen Donnelly: Amendment No. 172 provides for a report on the implementation. If we are to make termination of pregnancy services free - I agree we should and must and I support that being provided for in this section - then we must make all maternity services free at the same time. They are to a large extent, in fairness, but it is not the case across the board. Some drugs that can cost a great deal of...

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