Some Senators may recall that recently a group from England came to Ireland offering a single vaccine instead of the three-in-one MMR vaccine. There was some concern about the effects of the three-in-one jab. Without any determination of their qualifications or professionalism to deliver those jabs or any recognition of the type of vaccine they were creating they would, under this directive, be entitled to operate in Ireland for 16 weeks without ever having to register with An Bord Altranais, the Irish Medical Council or any other organisation. This is a retrograde step because it does not give certainty or guarantee to the patient on the quality of care or training that professional has undergone. In Ireland we have been successful in establishing through our regulatory authorities, be it the Law Society, the Medical Council or An Bord Altranais that a standard of care and professional training was available that gave some certainty and guarantees to patients and clients.