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Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: It is what the Government is proposing.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: That is not the question that I am asking. I am asking, in Dr. Herity's professional opinion, if one lab can do both? Yes or no?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: Yes or no? Can University Hospital Waterford do both the planned and emergency work with one lab?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: That is not the question I have asked. I am asking Dr. Herity to answer the question.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: He has not. Yes or no?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: So the answer is "no"?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: I am asking Dr. Herity.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: If there were a second lab, would it improve the chances of increased services in Waterford?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: Is that because of capacity or convenience? If that service were available in Waterford, could those patients be referred to Waterford?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: If there were a second lab, then there would be more capacity and it would have the ability to receive more patients.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: Dr. Herity cannot cherry-pick elements of Professor Higgins's report in the way he has done.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: That is exactly what Dr. Herity has done. As he has read the report, he will know that in terms of cardiology services Professor Higgins committed to the south east being serviced by University Hospital Waterford. It is obvious that he does not agree with that analysis. The synergies mentioned between Cork and Waterford are the opposite of what he has proposed in his report, but that seems...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: Dr. Herity refused to answer my "Yes" or "No" question because he knows that the answer is "No". It is not possible for one laboratory servicing even the effective population of 240,000 people for which he opted to do both planned and emergency work. The logic of his report accepts that that is not possible, but that is what is happening.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: Dr. Herity seems to be glossing over this completely as if it was irrelevant. It is crucial.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: Conversely, if there was a second laboratory, there could be two sets.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: To keep things as they are.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: That is what it means - to keep things as they are.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: I welcome all the witnesses. I am not sure if they heard the exchanges with Dr. Herity who was with the committee earlier. He robustly defended his report in his opening statement and his answers to our questions. When asked why he did not consult with Dr. Buckley, Dr. Colwell and Professor Higgins he said he had put a day aside at University Hospital Waterford for consultation. It had...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: Okay. it should be noted that it was put to Dr. Herity that he had a responsibility to consult with people if he so wished and it was not the case that he should have to expect people to come. In any event, the witnesses have clarified that they were not even informed that this day of consultation was happening. I have tried to condense the report down into very simple language and a...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

David Cullinane: I asked a question that was not answered. It is the most obvious one from my point of view. A decision was made not to remove emergency percutaneous coronary intervention, PCI, from University Hospital Waterford from Monday to Friday, which I welcome. If that is the policy, and that is not what Dr. Herity proposed, is it viable in the clinicians' view for one laboratory to service the...

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