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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 (Resumed) (18 Oct 2023)

Seán Crowe: I am sorry, Dr. Duffy, but I need to move on. Our next questioner is Deputy Gino Kenny. I take it he is on the Leinster House campus.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Sorry, does Dr. Duffy wish to come in?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: I need to suspend the meeting now. We will have a comfort break for ten minutes or so.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: I noticed you were looking at me when you mentioned that. Can we have a response?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Deputy Durkan had ten minutes, and he used eight for his questions. Can we have a reply from Dr. Conlon?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Dr. Conlon will have to finish up.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Deputy Durkan, please.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Please, Deputy Durkan. Other people want to come in.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: I will move on.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: I have a couple of points. At the beginning of her presentation, Dr. Conlon spoke about barriers to care. One of the issues mentioned was how the service is free only to women who have a PPS number. Does Dr. Conlon have any suggestions, or has anything been done since her review, in regard to this? It is an important area concerning women who are isolated, vulnerable or from marginalised...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: That is fine. A number of members have commented on the capacity element of it. The report discusses how only 11 of 19 maternity units or hospitals provide full services. That figure has risen by one since 2019. It was expected that four more hospitals would commence providing services. Is there an update in regard to that?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: One of the difficulties that hospital providers and service users cited was that infrastructural challenges, including the lack of dedicated space, single rooms and theatre access, affect the provision of termination of pregnancy services. Has there been any update in regard to that?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Okay. The provision of surgical termination of pregnancy depends on resources and requires management support as well as training and education for providers. Again, that engagement with the Department of Health has not occurred, and nor has the implementation. Have there been any structural changes?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: In regard to the challenges in accessing services, the My Options service was commented on at the last meeting and again today. Is Ms O'Shea aware of any increase in publicity around My Options, such as a campaign?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: I have two quick questions. Concern was expressed recently that the State has failed to provide a perinatal, clinical, genetics, genomic service. As Dr. Conlon said, the service requires expert guidance to multidisciplinary teams regarding appropriate testing, interpretation of test results and so on. Again, it was mentioned that there is only one consultant in clinical and biochemical...

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Lastly, there is a need for standardised pathways of continuous care and follow-up care between Irish hospitals and facilities abroad. Are there no changes in relation to that?

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: I have many other questions but I am conscious that other members wish to come in, particularly non-members. I call Senator Keogan, who has seven minutes.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: I call Deputy Tóibín.

Joint Oireachtas Committee on Health: Report of the Review of the Operation of the Health (Regulation of Termination of Pregnancy) Act 2018: Discussion (Resumed) (18 Oct 2023)

Seán Crowe: Allow the guest speakers to respond, please, Deputy.

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