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Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: We are over time. The next slot is for the Social Democrats, so it is my time. Like others, I struggle to know where to start. We could be here for a number of days or weeks with a list of questions that could be asked on all of this. My conclusion is there is a toxic work culture in parts of CHI. There is dysfunctional internal communication and poor governance. I am not satisfied with...

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: CHI is happy to share that with the committee. That is great. More generally, there are ways of disclosing things. Names can be redacted and people can be engaged with. If things are contested, that can be noted in the report. What I am hearing is this constant reluctance to disclose and share information. We need accountability, transparency and full disclosure from CHI. That is how...

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Does the HSE share that view of the report?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: I will move to the matter of the unnecessary hip surgeries, which are shocking, distressing and disturbing. I acknowledge Ms Nugent said she is equally distressed by a lot of this. Questions still remain around all of this. The audit period is a two-year period going back to 2010, but how far back does this issue go?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Dr. Okafor will have to turn his mic on and off.

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: That paper was based on surgeries that happened before 2010. Is that correct?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: The big question that remains for many of us is why this happened. We know what happened but nobody has been able to tell us why.

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: I read the report. I know that.

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: How many of the children who had unnecessary hip surgeries had private health insurance?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Is CHI ruling out financial incentive as a motive and putting it down purely to philosophy?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: The procedure was identified as a novel procedure. Were families informed that this procedure was novel? The report I read stated it was a novel procedure with a lower threshold. Were people informed of that?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Was there informed consent?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: That was the question.

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Were people informed it was a novel procedure? That is the question I am asking.

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Is the suggestion that patients were informed it was novel?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Does the HSE wish to respond on any of that?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Dr. Henry was indicating.

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: On caseload management, are there defined maximum caseload caps for orthopaedic surgeons or consultants in CHI?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: Are there defined maximum caseload caps for orthopaedic consultants in CHI? My question is on the growing list of patients. Is it clinically safe to continue to assign new patients to consultants who have significant backlogs?

Joint Oireachtas Committee on Health: Treatment of Children with Dysplasia and Scoliosis and Related Matters: Discussion (19 Jun 2025)

Pádraig Rice: We are over time and due to take a break. There are six members remaining and there will be ten minutes each if they want to come back in. We will be strict on the time limit for the break. We will take a five-minute break after which the six remaining members will have ten minutes each.

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