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Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Donnchadh Ó Laoghaire: It is, unfortunately, all too rare that debate changes opinion in this House but I welcome the fact that the Minister is listening on this occasion and has moved to an extent. It has been clearly a worthwhile endeavour to have the additional time to debate and tease this out. The Opposition has had an opportunity to clearly articulate the position and the reservations that exist. I...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Patricia Ryan: Everybody who spoke earlier had an issue around the absence of a statutory duty of candour in the Bill. I am asking that this be addressed also. What I really want to say is there should be an obligation on the provider clinician - I am glad that the Minister has mentioned that - to inform a patient of her right to a Part 5 review at the point of diagnosis. We owe it to Lorraine Walsh and...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Réada Cronin: I listened to the Minister's response. I appreciate what the Minister stated about anonymising the audits and the difficulty in identifying slides. I wonder if there is any possibility of redesigning that system and looking at it again. I appreciate that the Minister is willing to look at another amendment. This stands out for me as well because Emma Mhic MhathĂșna, who was from...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Marc Ó Cathasaigh: I am trying to following the initial order as closely as I can. Did Deputy Carthy want to contribute?

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Matt Carthy: Yes.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Marc Ó Cathasaigh: The Deputy would be next on my list, in that case. I can come back to the Deputy, if he needs a moment.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Matt Carthy: Yes.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Marc Ó Cathasaigh: That is fine. In that case, I call Deputy Buckley.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Pat Buckley: I, too, welcome this debate. It was not too long ago we were arguing about the duty of candour. I recognise that the Minister will look at the Part 5 review and strengthen that. What this House is about is debating it. We are all trying to sing from the same hymn sheet here. I was a little surprised when the Minister was on about the 50:50 for yea and nay on the audits. That is...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Darren O'Rourke: I welcome the points that have been made in terms of the engagement, the movement on behalf of the Minister and the need, if required, for additional time. I welcome that there seems to be some movement on the part of the Minister but the devil will be in the detail. Programmatic audits are not a new concept in the HSE or elsewhere. The question is what those programmatic audits trigger....

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Duncan Smith: We welcome what the Minister has said in terms of moving on a duty of candour. It is interesting that the Minister has moved in the past couple of hours when he should have moved much earlier. As I said in my earlier contribution when I mentioned the final Scally report, this has been well flagged as a serious and fundamental ask of this legislation. We are happy to give it extra time in...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Stephen Donnelly: It can be done in the Seanad.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Duncan Smith: Okay, it will be done there. If we are going to January, the Minister must mean January. The Minister must see this being done by the end of January. He will have time over the Christmas period to get this right. In his final summing up, if the Minister could expand on how this will get from here to where it needs to go, we would appreciate that.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Seán Crowe: It is a little unsatisfactory. The way we do our business in this House is unsatisfactory at the best of times.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Róisín Shortall: Given that this is potentially quite significant, I ask the Minister to clarify the area in which he is prepared to consider an amendment.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Stephen Donnelly: The ask would be that it would be an obligation within the Bill, on a statutory basis, for patients to be informed that this patient-requested review is available to them. I think this is what is being requested. We would also-----

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Róisín Shortall: Informed rather than-----

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

David Cullinane: Exactly.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

Marc Ó Cathasaigh: The Deputy will have a further two minutes and the Minister will have another chance to respond at the end. I call Deputy Cullinane.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report and Final Stages (7 Dec 2022)

David Cullinane: The very fact that we are now looking at an amendment which might take some time to be crafted is a vindication of what we have been saying, which is that we need to go through this legislation properly and thoroughly and get it right. I welcome the fact that there has been movement on this issue. This makes sense because it places a legal obligation on the clinician to inform a woman who...

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