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Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I do not mind. I will wait; there is no problem.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: Was I in line to ask this question?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I am okay with going to Dr. Herity to answers questions first and then coming back to me. That is fine.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I will be very brief. Some of the questions will require a "yes" or "no" answer. Did the review take into account the clinical risk and safety? Is it not general practice that the clinical safety of the patient is paramount in the review? Does Dr. Herity believe the recommendations of the report would have been different if clinical risk and safety were explicitly included in the terms of...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: This is incredible and Deputy Cullinane is correct. It is incredible to think there would be people in other parts of the south east - for example, in Clonmel, Wexford, Kilkenny and so on - that Dr. Herity would have known would have been coming to perform procedures in University Hospital Waterford and would have been directed by the consultants there. It is also incredible that Dr. Herity...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: It is disappointing that Dr. Herity did not answer that question straightforwardly. The very first question I asked him was whether the review took into account clinical risk and safety and if it is general practice that the clinical safety of the patient should be paramount in the reviews. Does he accept that the volume of complex procedures in the part-time single cath lab is a point of...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I do not think there is practicality in that answer in the sense that if a person is living in Clonmel or Wexford, he or she will automatically consider whether he or she will go to Dublin or go to Cork. Is it not a fact that there would be a particular volume of people who will not go to Waterford because they know that they cannot be seen after 5 p.m. or on weekends?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: Based on Dr. Herity's statistics, I ask him again, as he still has not answered, whether he was aware of the figures for referrals after hours? Was he given a list? Did he know what they were after 5 p.m.? Did he know the number of people that were being transferred to other hospitals on a regular basis or a weekly basis?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: On a monthly basis.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: Does he have those figures?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I have it here myself. It is a big difference.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: It is not.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I am astounded. It appears to me now, based on his answer, and Dr. Herity can say yes or no to this, that he did not take that into consideration. He did not consider the patients that were being transferred after 5 p.m., on weekends or to other hospitals because that would have added to it.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: He is not answering me. He took it into consideration or he did not.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: The consultants in Wexford and Tipperary categorically said, and I do not know if Dr. Herity knows this but he should know it, that they would send all referrals to Waterford. Did Dr. Herity know that?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: Yes, they would refer them to Waterford.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: The consultants in Wexford and Tipperary, but Dr. Herity did not meet them so he would not have known that.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I am not a clinician and the terminology "clinical risk and safety" does not come from me. It is used regularly by clinicians in the south east. I asked about clinical safety in having a single point of failure. What I meant by this was simple. What happens if someone is in the laboratory having a stent inserted and an emergency patient arrives? To where does one or the other go? That...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: There is no question but that the Herity report is fatally and fundamentally flawed. Meeting Dr. Herity earlier has copperfastened my opinion in that regard. The objective of inviting the consultants here today was to put everything on record. In the last six months, the consultants have been - on both local and national media - comprehensive in their analysis of the Herity report and of...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

John Halligan: I was wondering where we go from here. Will the consultants issue a recommendation or what is the next step?

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