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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)

Róisín Shortall: Yes, about the clinical director-----

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

Róisín Shortall: Okay. A short while ago Dr. Goldman said that, following that review, he sent out directions to staff. He also said "we have a tighter governance process now." That is what he said. The implication of that is that there was a looser governance process prior to the external review. Would Dr. Goldman accept that?

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

Róisín Shortall: There were 50 recommendations in the external review. Reading between the lines, they were pretty damning in terms of governance and management. Dr. Goldman now says he is moving to get tighter governance. The implication of that is that there was looser governance, that goes without saying.

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

Róisín Shortall: Fine, I hear what Dr. Goldman is saying. Is it the case that the consultant at the centre of this actually requested and was very much in favour of an external review?

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

Róisín Shortall: So he wanted an external review, is that the case?

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

Róisín Shortall: I would like to ask Ms Kelly about data collection. Did she know that Temple Street had no data collection resource in relation to surgical outcomes?

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

Róisín Shortall: We have heard about this very unfortunate case with 33 returns to theatre. Of those 33 returns, roughly what was their breakdown in terms of wound washing, bowel management and other things that would not involve serious surgery?

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

Róisín Shortall: That is not the question I asked.

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

Róisín Shortall: Okay, so particularly in the case of children with co-morbidities many other procedures such as wash outs would be required. Is that right?

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

Róisín Shortall: That would be expected.

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

Róisín Shortall: Okay, I thank the witnesses.

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

Róisín Shortall: Is that a new arrangement?

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

Róisín Shortall: May I remind the witnesses of the commitment to provide data on the international norms in terms of children in this category, as well as an update on the progress being made on the external review recommendations?

Written Answers — Department of Health: Health Services Staff (27 Sep 2023)

Róisín Shortall: 135. To ask the Minister for Health if the 6,000 additional staff across acute and social care services announced in Budget 2023 have been recruited; to provide a breakdown, in tabular form, by discipline and recruitment status; and if he will make a statement on the matter. [41733/23]

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Róisín Shortall: I welcome the witnesses and thank them for their presentations. On the last topic, all of that has been in the public domain for quite some time. It is a bit ironic to hear the Secretary General saying we accept that there are problems with the system for agreeing budgets and that they need to change. The system is largely a result of the attitude of and approach taken by the Department of...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Róisín Shortall: Okay. The projected one was €2 billion. It was made by people within the board of the HSE who know about these things and it is worth reminding ourselves of that. Moving to the question of workforce planning, Mr. Watt provided a lot of figures and detail in his opening statement. What I am not seeing at all is a workforce plan. There is much talk about recruitment, existing...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Róisín Shortall: Okay. I take it the Department is using the Economic and Social Research Institute, ESRI, figures or basing its projections on those, which were out to the middle of last year.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Róisín Shortall: Okay, that is all good stuff. When will we see the plan?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

Róisín Shortall: There has been a bit of slippage, then. It had been promised for this month. What was the reason for that?

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