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Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: To repeat the question, did the freedom of information requests coming in play any role in the decision to suspend-----

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Dr. Goldman has answered my question; he said "No".I am suggesting that the reason the internal and external reviews were initiated related to FOIs coming in. Dr. Goldman is saying that is not the case. That is the answer to the question and that is fine. On the current external review that is being commissioned, is there any causative link between the publication of the article by the...

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Yes, the current one.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: In respect of parliamentary questions, the witnesses said the first that CHI became aware of this was on foot of my parliamentary questions that were answered in July, but I had asked previous parliamentary questions where, to be generous, the answers were misleading, and one of them had been signed off by Dr. Okafor. What does that process look like? CHI received a question on 8 May, which...

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: In this case, did CHI get any information it did not give to me?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: No correspondence that went to the people who were answering the questions used the word "springs", for example.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Dr. Okafor is saying definitively, on the record, that in terms of answering the questions for which I got an answer on 25 May and 12 July, CHI did not receive any correspondence that mentioned the word "springs".

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: That was not the question. CHI was asking for information from Temple Street and, presumably, looking for an answer to the question-----

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Did anyone mention anything about springs?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: I think Dr. Okafor is referring to page 3 of the internal review, which refers to growing rods.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Okay. Dr. Okafor might give me a "Yes" or "No" to the following question. Was there any reference to springs in any correspondence CHI got in answer to that?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: CHI's opening statement refers to the suspension of these surgeries in November 2022. Did Dr. Okafor participate in a meeting in March 2023 where pressure was applied on surgeons to restart surgery?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: To restart surgeries that were not happening as a consequence of the decisions that had been made in November 2022.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: What about restarting other surgeries?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Again, I submitted a parliamentary question, to which I got an answer on 8 May, asking whether the Minister for Health was aware of any external or internal pressure being placed on clinical staff to restart spinal bifida-related surgeries. Dr. Okafor is saying there was no pressure to restart spina bifida-related surgeries.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: There was no pressure to restart surgeries, in that case.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Dr. Okafor is saying "No" and that is fine. Funding was provided for data-keeping and it was said to an advocacy group on 22 August 2022 that a data manager had been recruited and would commence a national spina bifida register. Has that register been created?

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: Does Dr. Okafor have any idea why? CHI has had a data manager for a year and a bit.

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: If there is funding to approve data keeping in CHI-----

Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

Paul Murphy: What is the progress on a national spina bifida register?

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