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Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Only six of the other 60 travelled?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: This is probably a medical issue. A total of 66 people who went to the Irish Thalidomide Medical Assessment Board must have felt they had a case, but their injuries were not defined as such. What injuries did they think were thalidomide-related but the board stated "No"?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: I know that, but did people have some other condition that they said might have been related to thalidomide? Can anyone give us any concept of why the other 64 people who felt they had a thalidomide-related condition-----

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: We will probably run into some of the 64 people who believe they have a thalidomide-related condition and that the State is doing nothing for them. As they obviously did not pass the medical test, can Ms Carr tell me about this category?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: If the 64 people who believe they were victims of thalidomide-----

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Can anyone tell us about this because the number of people involved is not large, but we have all probably bumped into a few of them in our time? They believe they receive no support. We accept that they did not meet the medical board's criteria. Can anyone explain it? Obviously, they all received letters telling them this and explaining that they did not meet the criteria.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Can the witness go through the records and give us a note on this issue? Those people are out there. Those 64 people-----

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Ms Carr said that six people went.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Some people just give up. Just because 60 people did not go to Sweden, it does not mean-----

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: We would not know the names.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: When Ms Carr refers to causation, does that mean that a person has to prove that his or her mother took thalidomide? For the people watching this, what does "causation" mean?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: By "causation", Ms Carr means that it has to be proven that the person has a disability and his or her mother took thalidomide. Ms Carr is saying some people could have a disability and their mothers might not have taken thalidomide but it is presumed they did.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: They found out their mothers did not take thalidomide and the disability is unconnected to the drug. I am trying to get this into layman's English. From visual appearance, two people can appear to have been affected by thalidomide but Ms Carr is saying that may not be the case.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: There are different defects.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: This is an old issue that surfaces every so often. That is why we are having discussing the matter at a simple level. People come to us and state they have been affected by thalidomide but they got nothing. Perhaps we can explain this a bit better now.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: I thank Ms Carr.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: We will move on from the next main item in the note, the chapter on 2012 which is now six years old and is just a bit of history.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: I will make one small point we touched on earlier. The HSE has a steering group, which was mentioned, and an implementation group. Mr. McCallion stated one third of the recommendations fall outside the scope of the HSE and within the scope of, for example, the Department. Who is overseeing the implementation of these recommendations where they impinge on the Department rather than the HSE?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: In other words, it is a steering committee-----

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: -----that is specifically dealing with the recommendations relating to the Department of Health whereas the HSE has its own implementation committee.

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