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Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: That is what I am saying. Nineteen put it in and we are talking about a period from 2000 to 2018.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: We are talking about 20 years.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: In real terms, if one is talking about 19 consultants over that period, and maybe two or three would have retired halfway through, surely we could get all of those and that information as regards identifying the real numbers. The other issue is about making sure that every one of those patients is made aware of the follow-up care that is now available in these clinics.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: I thank Ms Martin.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: Does Dr. O'Sullivan accept that 40 women attending the Cork clinic, which, I assume, covers all of Munster, is quite a small number in view of the overall concerns raised by women across the country? Is there an explanation as to why the numbers attending the clinic are so small?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: I thank Dr. O'Sullivan.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: Could I deal with the issue of numbers? I was a little concerned when I heard Dr. Murphy say that up to 10,000 women may have had mesh used and that procedure followed, yet only slightly more than 100 people have attended specialist clinics. We heard earlier this morning that there is concern that a large number of women have gone through the procedure who feel that they have not received...

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: People are looking to get treatment abroad because they are not happy with the service in Ireland. Does Dr. Murphy accept that there may be a scenario where people who have been reviewed in Cork or Dublin are not happy with the outcome, and that there is a need for a better approach on this? People are going off and trying to get assistance from elsewhere without any support from the health...

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: For instance, I came across a scenario that is nothing to do with gynaecology or obstetrics where a consultant here refused point-blank to allow a person to get treatment in a particular area. The consultant required him to undergo an operation, while in fact he could get treatment abroad that did not require an operation and there was a stand-off between the patient and the consultant. The...

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: Does Dr. Murphy not accept that there are people here in Ireland who lack trust in the system because of what has happened to them, regardless of what advice is provided, and sometimes it might be a better option to allow the person to avail of options abroad? Obviously, I am talking about staying within the European Union because the cross-border healthcare directive provides for that....

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: Ms Donohoe is talking about access within the EU. Does that now exclude access to treatment in the UK because of Brexit?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: Whereas previously they would have been able to go to the UK.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: Some people have lost trust in the system here, which is not a criticism of medical professionals. It happens in all areas, including the legal world. It happens in every sphere of Irish life. If a GP is satisfied that a person requires an opinion and perhaps treatment, there is nothing preventing that GP from giving a person a referral letter in order to travel. The disadvantage with the...

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: It is not a scheme that is open to everyone.

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: Due to the cost issue, it is not open-----

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: I want to come back to Dr. Murphy. The number of consultants who would have provided this care is quite small in real terms; my understanding is that the figure may be lower than 20. The collection of data is not easy because people have to go through records. We have a crazy system whereby we do not have an up-to-date data collection service in real terms. Our medical records are still...

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: I refer to the pausing of a particular medical procedure, which in this case has been paused since 2018. If a medical procedure is identified at some stage, no matter what area of medicine is involved, how long does it take us to take action to make sure we act on what is international best practice on pausing a particular type of treatment? Is there a mechanism in place for doing that?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: What are the indicators that need to be in place before we decide to pause a medical procedure? Is it at European, UK or US level?

Joint Oireachtas Committee on Health: Vaginal Mesh Implants: Discussion (29 Jun 2022)

Colm Burke: I thank the witnesses.

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