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Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I am not jumping the gun here. If Deputy Kelleher wants to-----

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: It is very disconcerting for members who have prepared to participate on Committee Stage to find the ruling that has applied-----

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I am not addressing-----

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I am addressing-----

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: With respect, Chairman, I have to say-----

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I want to contest the interpretation of the Standing Orders in this instance.

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I will make this brief comment.

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: The reason we have tabled these amendments is to respond in the first instance not only to the expert opinion that came before us last week from Epilepsy Ireland, including the eminent neuro-consultant who accompanied its representatives, Dr. Widdess-Walsh, but also because I have met, as I am sure is the case with Deputy Kelleher and other members here, and spoken with people who are...

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: Do we have amendments that would impact on the section?

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: The amendments are about section 2.

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: Section 4 deals with the establishment of the list of interchangeable products. Section 5 deals with its maintenance, upkeep and amendment. We are dealing with it at the outset and timeframes are very important. The Minister of State is giving us an indication on establishment. It is very difficult to talk about section 4 without referring to section 5, as the Minister of State has...

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I was moving on.

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: That is all right. These matters arise now for the establishment of this list. That is the point that I cannot erase from my mind as we look at it. The Chairman says section 5 deals with it, but this is the starting point.

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I would like to return to the earlier points I made-----

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: -----under section 5 on the issue of anti-epileptic drugs, AEDs. I again record the fact that it is deeply regrettable that we were not able to pursue the amendments we have validly tabled. I would like to share with the committee a case of which I have become aware. The person has epilepsy but it was controlled by the medication he or she was using. It takes some time to get to that...

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: As the Minister of State is aware, the Moran report - he probably has a copy of it in front of him - contains a recommendation to the effect that AEDs should be excluded from the terms of the promised legislation on generic substitution. That is my clear recall of what is contained in the report which was produced by a joint working group involving the Department of Health and the HSE. The...

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: This is an exceptional situation which merits an exceptional response.

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: In the example I gave, there is generic substitution. The inclusion of the clarity for which we have been arguing in this legislation will immediately deal with that aspect. There have been recorded consequences. It is hugely important not to wait for the Irish Medicines Board's review and decisions. There is already ample evidence that there is an issue to be addressed and one way to...

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: I know Deputy Naughten did not intend it would be taken from his remarks that it was not the practice of the professionals to communicate adequately with clients. We could all attest to the fact that pharmacists in the front line do as a matter of course - this is my personal experience and observation - take the time to engage with clients and present information on prescription fulfilment...

Committee on Health and Children: Select Sub-Committee on Health: Health (Pricing and Supply of Medical Goods) Bill 2012: Committee Stage (19 Mar 2013)

Caoimhghín Ó Caoláin: It does no harm to seek that patients be given a full explanation. Nobody in either profession would take offence at that. The critical issue is that patients, now as never before, need to understand the situation, because they are now being presented with a choice that heretofore they never had to make. Taking a little extra time with them and ensuring they have full knowledge and...

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