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HSE Rental Property (30 Jun 2011)

James Reilly: I apologise because I do not have an answer to the Deputy's question. I hear his concerns, particularly with regard to accessibility to the site. I will not comment on the other contention at this time, but I will check out the duration of the contract. I will also ask for a report on accessibility to the site and its appropriateness and will check what other sites might be available in...

HSE Rental Property (30 Jun 2011)

James Reilly: Very briefly-----

HSE Rental Property (30 Jun 2011)

James Reilly: I will check.

Hospital Services (30 Jun 2011)

James Reilly: I propose to take Questions Nos. 7 and 26 together. As Minister for Health, I will not stand over unsafe practice in any setting nor will I allow patients lives to be put at risk. However, it is not my policy to close small hospitals or to diminish them in any way. My priority is to ensure safe, high-quality care for patients, provided in the most appropriate location. The circumstances in...

Hospital Services (30 Jun 2011)

James Reilly: I reject the Deputy's contention that there is a diminution of services. I have just explained to him that what is currently available is not safe. It is not safe as adjudicated by the clinicians in the hospital, who will no longer stand over the circumstances that obtain.

Hospital Services (30 Jun 2011)

James Reilly: I can come to that in a moment. I refer to the position on safety as adjudicated by HIQA and clinicians in my Department. I am seeking to make the location safe and to ensure there is a 24-hour service. It will be an enhanced service from a general practitioner's point of view because one will now be able to have X-rays at night, which was not the case heretofore. The service will be...

Hospital Services (30 Jun 2011)

James Reilly: Thirty patients per day pass through the accident and emergency department. Fewer than one per day is transferred to Galway. Some 25%-----

Hospital Services (30 Jun 2011)

James Reilly: The first paragraph of the letter which Deputy Flanagan quoted is correct. The second paragraph states in the event of the accident and emergency unit being downgraded we are committed to reinstating a 24-7 service where feasible. Let us have accuracy on the record of the Dáil.

Hospital Services (30 Jun 2011)

James Reilly: The question is a straight one. Was I aware? No, I was not. The Mallow report had not been published. The Ennis report suggested a review needed to be done but no such review was done, so I was not aware. I must preside over what is safe. Apart from being a Minister, I am a doctor, and I will not preside over what is not safe. I will not ignore expert advice from colleagues in the...

Hospital Services (30 Jun 2011)

James Reilly: I did not interrupt Deputy Ó Caoláin. We know what was on offer in February; we now know what we are faced with-----

Hospital Services (30 Jun 2011)

James Reilly: -----and if Deputy Ó Caoláin can predict the future with absolute certainty, then fair play to him.

Hospital Services (30 Jun 2011)

James Reilly: I want to make one important point. People have spoken about the golden hour. This is a concept from the 1970s and 1980s which has been superseded by much information, many reports and peer review journals which show one is better off, even if one is more than an hour away-----

Hospital Services (30 Jun 2011)

James Reilly: -----going to a high-volume centre. One's chances of survival increase by 25% - one in four. Let us do what is safe. Let us be honest.

Hospital Services (30 Jun 2011)

James Reilly: I apologise.

Hospital Services (30 Jun 2011)

James Reilly: Important issues have been raised.

Hospital Services (30 Jun 2011)

James Reilly: I accept that.

Hospital Services (30 Jun 2011)

James Reilly: Am I allowed answer the two queries?

Hospital Services (30 Jun 2011)

James Reilly: I cannot do it in one second, sorry.

Hospital Services (30 Jun 2011)

James Reilly: I will certainly ask HIQA to look at its terms of reference with regard to travel time. This is perfectly reasonable. I have no issue whatsoever with getting independent verification on the golden hour because plenty of information exists and it has been superseded. The figures are quite clear, with 25% better survival rates through going to a high-volume centre even if one must travel an...

Health Service Staff (30 Jun 2011)

James Reilly: There is already a structured pathway in place for persons who have been awarded a basic medical qualification following completion of a course of study in one of the medical schools. The first year of postgraduate medical training, the intern year, is undertaken in a teaching university hospital following which doctors can apply to commence training in the area of medicine in which they hope...

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