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Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: I apologise for having cut Mr. McGrane off earlier. He now has the opportunity to answer all those questions.

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: Does the HSE have the potential to create a register of patients? If a mother or parent suspects that a child has a difficulty relating to taking Epilim in pregnancy, could there be a central location to register the suspicion? Could that then be taken up by the HSE? Could the HSE act as one point of contact? Could people access services depending on what their disability is and whether...

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: Is the issue about developing a clinical diagnosis as opposed to a genetic diagnosis. Is this not the issue that the parents of children are coming up against? They cannot get a clinical diagnosis because there is not a central point of reference where they can present their case.

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: I will let Dr. McKenna come back in, then I will ask Ms Joan O'Donnell for a comment and then I will bring in the Senator.

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: We are under a bit of pressure for time. I will bring in Deputies O'Connell and Donnelly and return to the witnesses for answers to those questions.

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: I will ask the witnesses from the HSE to speak first after which we will hear from the representatives of the HPRA.

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: I will call speakers from the HPRA and then come back to the witnesses from FACS. I call Dr. Gilvarry.

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: Thank you very much, Dr. Spooner. I might give the final word to Ms Joan O'Donnell.

Joint Oireachtas Committee on Health: Business of Joint Committee
Foetal Anti-Convulsant Syndrome: Discussion
(25 Apr 2018)

Michael Harty: The committee will meet in private session to consider the evidence that has been given and our response. A transcript of the meeting will be sent to the Minister. On behalf of the foetal anti-convulsant syndrome, FACS, forum, the Health Products Regulatory Authority, HPRA and the Health Service Executive, HSE, I thank the witnesses for giving evidence this morning.

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: In this second session we are meeting representatives of the Chiropractic Association of Ireland, CAI, to discuss the impact on the chiropractors of the transposition of Council Directive 2013/59/EURATOM laying down basic standards for protection against the dangers arising from the exposure of ionised radiation. On behalf of the committee, I welcome Mr. Tony Accardi, Ms Lyndsey O'Leary, Mr....

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: I thank the delegates for the opening statements. We will now hear observations from members. The first to contribute are Senator Colm Burke and Deputy Louise O'Reilly.

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: If the witnesses bank those questions, I will bring in Deputies Durkan and O'Connell in order to complete contributions from members.

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: Before the witnesses start answering those questions, perhaps they might refer to the definitions of practitioner and referrer because they seem to be central to the issue with regard to being a practitioner who is entitled to refer for X-rays. As has been mentioned, in 2002 the Department undertook to include chiropractors in the regulation, but 16 years later this has not happened....

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: No.

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: Will Mr. Cosgrave distinguish between the various types of referrals required? X-ray is one and MRI and CAT scans are others. Is there a difference between them?

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: Is it the case that if one has the right of referral, one does not need X-ray facilities in one's practice?

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: Is it that the 10% that do do so because they do not have referral rights?

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: In the witnesses' estimation, what is the difference in attitude between Ireland and the UK in relation to X-ray facilities for chiropractors? What is the fundamental difference between the two jurisdictions?

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: To go back to that question, what is the underlying reason for that?

Joint Oireachtas Committee on Health: Council Directive 2013/59/EURATOM: Chiropractic Association of Ireland (25 Apr 2018)

Michael Harty: Are chiropractors in the UK or Northern Ireland regulated differently from those in the Republic?

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