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Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: I can respond to Deputy Cullinane's questions on HIQA having these powers by confirming that it does not currently have the powers under this Bill. Under section 9, HIQA has powers to intervene but only in very specific circumstances. I engaged directly with HIQA on one particular patient safety incident, for example, and the point was made to me that, in this case, which was not a good...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: Yes.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: I wonder if I could get two minutes apiece for my responses. It is very difficult to respond to colleagues in approximately 45 seconds each. I wonder if we could stretch it to two minutes.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: Thank you, Acting Chair. We are in danger of getting on with each other.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: I will get back to Deputy Kelly on his first question on cases being statute-barred. I will ask officials to get back to him with a legal opinion. Like himself, my understanding of how the statute would apply is that it would be X number of years from when a patient finds out.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: However, let us make sure. I will ask the officials-----

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: Yes. My understanding is that the time is from when you know, but let us get a legal view on that. In response to Deputy Kelly's second question, there will be several matters on which I will be writing to the HSE. Yes, it is my intent, and I will be including this in writing to the HSE, to say that what we mean in the second sub-clause by "after screening" is what the 221+ group means,...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: -----time to train the healthcare professionals. I am not in a position to accept the specific amendment on "may" versus "shall" for a technical reason. Guidelines will not be required in every circumstance from the Minister and, regarding the second piece, from the healthcare provider. There may not be any additional information in every case. We would be putting an obligation on the...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: I move amendment No. 2: In page 5, line 17, to delete “private hospitals” and substitute the following: “private hospitals, to provide for the review by the chief inspector of certain incidents occurring in the course of the provision of a health service to a person by certain entities”. This group of amendments - group 2 - concerns the nursing home...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: What will I put in writing?

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: I am sorry; there is quite a lot to get through.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: Following the debate we had before Christmas, we essentially have three more pieces we are introducing again this evening. The first is mandatory informing of patients of their rights to a patient-requested review before or during screening. The second is mandatory informing of the right to a patient-requested review after screening and that the process needs to be put in place for that,...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: There is quite a bit to unpack. If I go slightly over the seven minutes allotted, I ask the Acting Chair and colleagues to please bear with me. I thank several groups of people for where we have got to, which is the right place for this Bill. First and foremost among these are the patient representatives, including the 221+ group. Members of that group and other patient representatives...

Civil Defence Bill 2022: Referral to Select Committee (15 Feb 2023)

Stephen Donnelly: I move: That the Bill be referred to the Select Committee on Foreign Affairs and Defence pursuant to Standing Orders 95(3)(a) and 181(1).

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

Stephen Donnelly: My understanding is that we are starting the debate on the amendment to amendment No. 14, which is in this grouping, although the earlier amendments were not disposed of on the previous occasion. I propose, therefore, that Deputy Kelly, who tabled that amendment, resume the debate.

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (15 Feb 2023)

Stephen Donnelly: As the Deputy would expect, I refute any allegation that we are not taking this seriously. We are, of course-----

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (15 Feb 2023)

Stephen Donnelly: An additional €15 million was put in place this year in the budget to address the DTSS and the backlogs for orthodontics and the school programme which, as we all appreciate, was delayed because of Covid. In this House, we talk a lot about what the Government needs to do to get dentists to sign up to the DTSS. Dentists are choosing to leave the DTSS because they make more money...

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (15 Feb 2023)

Stephen Donnelly: If the Deputy would not mind, we are all entitled to speak. One of her colleagues gave an example the last time we had a debate on this of a case where a dentist refused to treat a patient under the DTSS, but took the patient back when they were in agony and willing to pay privately. I do not believe that is acceptable. The Government has a role, but dentists should sign up to the scheme...

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (15 Feb 2023)

Stephen Donnelly: As the Deputy will be aware, the vast majority of payments have been made. There are specific guidelines across hospitals. Broadly, the payment is for people working in hospitals in patient areas. For example, security, catering, cleaning and contract are all covered. The kinds of people working in an acute setting who would not be covered might include people working in an administrative...

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (15 Feb 2023)

Stephen Donnelly: I thank the Deputy and acknowledge his ongoing work on rare diseases and, indeed, on access to orphan drugs. My intention is that the Mazars report will be published along with a view from Government as to the actions that can be taken in light of the report. That will happen shortly before Rare Disease Day.

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