Results 13,541-13,560 of 21,128 for speaker:James Reilly

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: Sorry, that is why I clarified what I said a moment ago. In the case of a pregnancy that is at a gestational age where a viable baby is possible, she has no right to terminate the baby's life. I want to clarify that in case I caused confusion with my answer to Deputy Ó Cuív. The diagnostic test is whether or not she is suicidal and the only treatment is termination to avert that...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: No. I did not say that at all. Can I deal with the last question?

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: Okay.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: I shall deal with Deputy Ó Cuív's contribution first. He has misunderstood the Bill somewhat. The Bill is to clarify existing law. I wish to clearly say that all that he elucidated regarding the complications of prematurity can occur as the law stands. All that we are doing with the legislation is bringing clarity to it for the doctors who have to provide it, the nurses and for...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: This is the problem caused by the Doppler effect of sound. Is that not correct, Deputy? On a serious note, the guidelines are under consideration and are being formulated as we speak. The process is in train and they will be made available as soon as possible. I cannot give the Deputy any more of an update.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: Absolutely.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: I move amendment No. 39: In page 10, line 15, to delete “subsection (1)(b)” and substitute “subsection (1)(a)”.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: I move amendment No. 42: In page 10, line 25, to delete “subsection (1)(b)” and substitute “subsection (1)(a)”.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: I thank everybody for their contributions. I know this is very difficult for a lot of people. As I said, for many other people it does not go far enough. I wish to address some of the issues raised, even though some Deputies have left the meeting. Deputy Naughten is quite right that suicidal ideation is frequent in pregnancy but the risk of suicide is very low - that is, one sixth the...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: A medical practitioner's ethical duty of care is already set out in the ethics guidelines published by the Medical Council, to which all medical practitioners registered on a special division are expected to adhere. These guidelines make specific provisions to ensure patients receive continuity of care, even where a medical practitioner decides to withdraw his or her services because of a...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: Where medical practitioners have particular beliefs which render them unable to participate in a specific medical procedure, it does not necessarily follow that they should be disqualified from participating in a process which calls for their clinical judgment to be applied. In situations where they are being called upon to assess whether there is a real and substantial risk to a woman's...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: If these amendments were accepted, we would end up with nobody being able to give an opinion on one side or the other.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: As the convenor of the review panel, the HSE needs to be able to ensure that all the requirements for the participation of medical practitioners in respect of the formal review process as set out in the Bill, for example, in respect to registration, qualifications and composition, can be complied with. In addition, colleges may not make any nominations to the panel and as they are...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: With the best will in the world, I do not really agree. I come back to the point that the legal obligation is on the HSE and not on the colleges. We are offering the colleges the opportunity to appoint but we are not giving them the veto on it either. I will not be accepting the amendment. I hope the Deputy understands that but I cannot accept the amendment.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: To correct what the Deputy said, the colleges are not regulating this and have no role in regulating it. What they have a role in is in providing guidelines for best clinical practice. The reason that is not in the Bill is because best clinical practice has no status in law. Second, it is clear under section 11(3) that the HSE shall, in addition to appointing medical practitioners duly...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: I have no further comment.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: Yes.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: While I am conscious that the formal review process needs to be completed in a speedy manner in order to safeguard the right to life of the pregnant woman concerned, it is important to understand that the process requires the HSE, as convener of the process, to take a number of steps. The application for the review process needs to be assessed to ascertain the nature of the request and...

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: To fulfil the requirements for certification, the medical review process must mirror the specifications of the assessment under sections 7 and 9. Since an examination is required under those sections, the review committee must also carry out this examination to be in compliance with the principles of the legislation. On that basis, I cannot accept the Deputy’s amendment.

Committee on Health and Children: Select Sub-Committee on Health: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (3 Jul 2013)

James Reilly: I appreciate the validity of the Deputy's comments. Patient safety has to come first and in this instance the reviewer would have to come to see the woman and examine her.