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Dáil Éireann debate -
Thursday, 23 Oct 1997

Vol. 482 No. 2

Adjournment Debate. - Revocation of BTSB (Cork) Licence.

I welcome the opportunity to raise this issue and I thank the Minister of State for coming into the House to respond to my questions.

In his recommendations in Chapter 16 of the report into the affairs of the BTSB, Mr. Justice Finlay made two specific recommendations to which I want to refer. He said that those elements of the development plan for the Blood Transfusion Service Board should be undertaken immediately and completed before the target date of 1999. He then went on specifically to recommend the following: "Appropriate renewal of the premises and equipment in the Cork unit, whether by major overhaul and reconstruction or by the provision of new premises, should also be immediately commenced". Mr. Justice Finlay went on to make various recommendations in relation to the Irish Medicines Board about its capacity and duty to inspect the premises of the BTSB and to carry out regular inspections. The Minister of State will recall that it was the failure of the predecessor of the Irish Medicines Board to carry out some inspections which was partly responsible for the fact that we did not earlier become aware of some of the difficulties being experienced in the BTSB.

In his response to the tribunal report on 20 March last, the then Minister, Deputy Noonan, committed the Government to completing the development plan before the target date of 1999. He stated: "Likewise the renewal or replacement of the BTSB unit in Cork will be commenced immediately".

I am informed that on 7 or 8 October last, the Cork unit of the BTSB was informed by the Irish Medicines Board, following an inspection, that it would not be in a position to renew its licence. I understand the Cork unit supplies most of the hospitals in the Munster area as well as providing a backup service in the event that the Dublin service cannot provide the appropriate services required. I understand the Cork unit has a substantial donor base. The unit employs approximately 100 people but it has long been accepted that the accommodation being provided for the service in Cork is less than adequate.

Can the Minister assure me that this money will be provided to ensure that the unit in Cork does not have to be closed? My understanding is that no money has been provided in the 1997 Estimates. Will the Minister assure the House either that a Supplementary Estimate will be brought forward immediately or that the money will be provided in the 1998 Estimates, specifically and most urgently for the unit in Cork but also for the completion of the programme as a whole?

I would also ask the Minister to assure me he is committed to continuing the decentralised service as well as continuing it separately in Cork. Surveys of experience abroad suggest that if one closes an immediately convenient service one cannot hope to replace the same donor base, in this case, for example, in Dublin.

I call on the Minister to restate the commitment given by the former Minister for Health, Deputy Noonan, to fund and complete the development plan before the target date of 1999.

I thank the Deputy for raising this important issue on the Adjournment.

The Minister for Health and Children, Deputy Cowen, advised the House in response to a parliamentary question on 9 October on matters relating to the Cork centre of the Blood Transfusion Service Board. The Irish Medicines Board has issued a manufacturer's licence to the Blood Transfusion Service Board to cover the period from 2 October 1997 to 30 November 1997.

Certain conditions have been attached to the issue of this licence beyond that period. In particular, the Blood Transfusion Service Board has been asked to submit plans and specify a timescale for the upgrading of the BTSB Cork centre. The development plan for the Blood Transfusion Service Board provides for major reorganisation and redevelopment of the service to ensure that it is in a position to meet international standards in transfusion medicine.

Substantial progress has been made in implementing key elements of this plan. Specifically as regards the Cork centre, I am advised that the Blood Transfusion Service Board is fully committed to ensuring that it continues to meet standards of good manufacturing practice as required by the Irish Medicines Board. Officers of the Department, the BTSB and the Irish Medicines Board are to meet on Wednesday next, 29 October, to agree a refurbishment programme in respect of the Cork centre.

Over and above this exercise, an option appraisal is required to assess whether the appropriate renewal of the Cork centre should be by way of major overhaul and replacement of existing buildings or by the provision of new premises at a different site. Such an appraisal will commence in a matter of weeks. Commencement of the more immediate refurbishment works will begin immediately following agreement with the Irish Medicines Board.

I wish to emphasise that investment in the BTSB, Cork will be made as required. The precise nature of the work to be undertaken and the timescale involved is being drawn up by the Blood Transfusion Service Board and the Irish Medicines Board. The agreed programme of work will be implemented immediately.

The terms of reference for the option appraisal will involve consideration of the following: the appropriateness of the current site for necessary developments; the availability and suitability of a new site; whether the Cork centre should ideally be located on the grounds of a teaching hospital; and whether a donor clinic should be attached to the new premises or on a different site.

Staff at the BTSB Cork centre have been informed regarding its future development. Full details of the reply of the Minister for Health and Children were communicated to the BTSB and staff at the centre were informed accordingly.

I wish to reassure the House that the Blood Transfusion Service Board is fully committed to developing the centre to ensure that it fully complies with requirements as laid down by the Irish Medicines Board. The necessary resources will be made available to achieve this objective.

The Dáil adjourned at 5.15 p.m. until 2.30 p.m. on Tuesday, 4 November 1997.

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