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Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: The witnesses cannot look at the contracts and say those 400 contracts equal 600 doctors. They have no idea.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: I will not even bother asking if Ms O’Shea thinks the provision of such disaggregated data for evidence-based decision-making in healthcare is useful, necessary or required.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: To your report.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: Does Ms O’Shea accept that reasoning?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: Do you find it obstructive?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: Moving to the contracts, 40% of them do not register with My Options.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: At first view, that itself is hugely problematic. From the quotes in the reports, which were really helpful in explaining why that is, one understands this comes with a body of work and it is urgent work because it is on a timeline. If you do not register with My Options, it allows GPs to limit the number of patients they accept to those on the surgery books and existing patients. Is that...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: So services-----

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: My point is that with regard to My Options there is an almost built-in option not to register.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: That is the fact 40% do not register.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: How important does Ms O'Shea think it is, in terms of that barrier issue and timely access to care, that My Options would have a facility to arrange an appointment for someone?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: We are all used to that interface now where you can book an appointment online. I want finish out that piece about GPs. I was struck by the reference to obstruction and delay for non-providing GPs. Is that something which came up regularly in the work?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: To be clear, we have criminalisation in the law of those providing services right now.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: However, the obstruction and delay of referrals comes under the code of ethics.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: There is no criminal aspect to denying somebody service, but there is a criminal aspect to delivering service.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: Sorry, they can proceed with impunity if they obstruct?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: Yes, 100%.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: A GP or service provider is often in a position of power.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: It seems incredibly imbalanced. I would like to see criminalisation removed from the Act.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (31 May 2023)

Neasa Hourigan: If there is criminalisation on providing service but no criminalisation in denying service, that sounds massively unbalanced.

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