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Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Other members referred to the availability of anomaly scanning. Perhaps Dr. Boylan might like to address that issue.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Dr. Boylan will address some of the issues.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Thank you, Dr. Boylan. I will bring in other members and we can then come back to some points that might not have been covered. I will bring in Deputy Murphy O'Mahony, Senator Burke, Deputy Durkan and Deputy O'Connell and in that way I have included all the members. I call Deputy Murphy O'Mahony.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: I remind the witnesses to ensure their mobile phones are switched off, as a phone rang there. They interfere with the recording system. I ask the witnesses to ensure their phones are turned them off completely or to switch them to airplane mode. I am sure it was not the phone of any of the members.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Members have asked a number of questions. Perhaps the delegates from the INMO might comment again.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: I call Ms Mary Leahy.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: We will let Ms Leahy come in first and we will come back to that issue.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: I will allow Deputy Durkan a short question.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: I have a few comments which I will address to each of the groups. In his opening statement Mr. McGrane mentioned the importance of audits. Is there a difficulty in collecting information across 19 maternity units to have proper information and engage in planning? Perhaps the models of specialist care, assisted care and supported care and how they differ might be outlined. It was also...

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: What about the models of care?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: What about open disclosure?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Is it practically applied?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Will Dr. Boylan address the issue of clinical governance?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Is it easier in the mastership model?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: I thank Dr. Boylan. We will move on to the issue of midwifery-led units and how they function.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: What percentage are home deliveries?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Approximately 20% of all births are home deliveries.

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: Are they private midwives who offer that service?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: A point was made about the distinction between directors of midwifery and group directors of midwifery. Will the witnesses expand on that?

Joint Oireachtas Committee on Health: Review of National Maternity Strategy 2016-2026: Discussion (21 Feb 2018)

Michael Harty: I have one final question and it is one we are grappling with in relation our Sláintecare report. What are the impediments to implementation? The national maternity strategy has been for two years now. Is it political buy-in, is it finance or is it a lack of understanding of what is being proposed? Where are the impediments to implementation?

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