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Dáil Éireann debate -
Thursday, 14 May 1998

Vol. 491 No. 2

Adjournment Debate. - Blood Supply Service.

I was greatly concerned to hear that some non-emergency operations may not proceed because the stocks of blood supply are critically low and that we have been forced to import blood products from the Netherlands to get the health service over the latest crisis in the level of blood supply. It is evident this problem stems from the dearth of public confidence in the BTSB and the blood supply because of the fallout from the hepatitis C scandal. The drastic reduction in the number of blood donations by members of the public must be curbed immediately. Otherwise, it will further undermine the role of the BTSB and affect the vital work carried out in our hospitals on a daily basis.

It is obvious the bad publicity resulting from the hepatitis C scandal has seriously undermined the public's confidence in the work of the BTSB and, while the staff of the board are working extremely hard to try to restore that confidence, it will take a long time. Further action needs to be taken by the Minister for Health and Children. The BTSB has a serious image problem because of the negative events with which it has been associated in recent years. That image must be changed urgently. The association between blood donations and assisting those who are seriously ill must be re-established urgently. We must put considerable time and resources into updating the message the BTSB has been selling for many years. This is particularly important because of events in recent years.

In his report, following the tribunal of inquiry into the BTSB, Mr. Justice Finlay stated that a major contribution to the maintenance of public confidence in the blood supply and blood products could be made by setting up a blood services consumer council. Such a council would be kept informed of relevant matters concerning the supply of blood and would have the right to make representations to the BTSB and the Irish Medicines Board on issues relating to the supply of blood. I urge the Minister to follow through on this clear recommendation in the Finlay report on the BTSB. It would ensure constant analysis of the levels of blood supply and help in the process of building confidence in the BTSB.

As recently as the end of January the Minister for Health and Children gave assurances, in reply to a parliamentary question, that there were sufficient blood stocks at hospitals and the BTSB to meet hospital requirements. Why did he seem so complacent a mere three months ago? Judging by Dr. Murphy's stark warning yesterday, the problem is urgent. Why was that not foreseen and appropriate action not taken when it first arose? During the winter months there are additional pressures and perhaps excuses can be made but undoubtedly stocks have run dangerously low in the intervening period. It is not good enough for the Minister to take this casual approach — we need much more than an ad hoc, stop-start policy on blood supplies.

Our hospitals and health services depend on an ample supply of quality blood. Without adequate supplies the job of medical staff is made much more difficult and in some cases it is possible that people's lives could be put in danger. It is vital that the Department of Health and Children and the BTSB heed Dr. Murphy's warnings. It is imperative that the Government acts swiftly on his warning and makes funding available for a major advertising drive to recruit more blood donors in the coming weeks. In the short term we must increase blood stocks, as this is the immediate problem facing our hospitals.

Much needs to be done in the long term but we have a short-term problem. I regret that the Minister is not here to reply but I urge him to become personally involved in the drive to recruit additional blood donors. Perhaps he should ask leaders of trade unions, industry and the arts to highlight this need and to ask the public to contribute to the welfare of the community by donating blood to those who need it. The issue is so urgent that it is necessary for the Minister to give a lead without delay.

I thank Deputy Shortall for raising this matter. I share her concern about the problems which have arisen with the blood supply and I assure her there is no complacency on the part of the Minister. As she is aware, similar problems have arisen in recent years in attempting to meet the requirements of the hospital sector. I am glad to say that the national medical director of the BTSB yesterday advised hospitals that the blood supply situation has improved and that the anticipated supplies would be back to normal early next week.

It is not satisfactory for hospitals, the BTSB and especially patients that operations should have to be postponed, even for a short time. It causes upset to patients, affects planned theatre schedules and causes uncertainty at stressful times for patients and their families. Understandably, priority must be given to patients undergoing emergency surgery. All urgent and emergency blood requirements have been and will continue to be met.

In addressing the current problems it is necessary to understand the sources of the current slump in donations. There has been a general downturn in blood donations throughout the world. Also, bank holidays are always a slow time for donations, the three most recent ones occurred close together and this is now having a cumulative effect. However, I have no doubt — and I am sure the Deputy would agree — that the root of the problem is the hepatitis C scandal. Since 1994 the BTSB has been the subject of enormous and sustained pressure and criticism. This has naturally taken its toll on the donor population, some of whom have given up donating as a result of the hepatitis C publicity. In terms of numbers attending BTSB donor clinics, there were 44,000 attendances in the first quarter of this year as against 48,000 in the same period last year. On top of this, additional precautions against the infection of the blood supply continue to be taken and donor deferrals at the BTSB are approximately 13 per cent, which is high by international standards — in other words, donations are not taken from 13 per cent of those who attend clinics, as a result of the most stringent safety measures applied by the BTSB. These deferrals are necessary and understandable in light of the current safety requirements and standards.

Donors are the single most important resource available to the BTSB and to hospitals in ensuring an adequate blood supply. I pay special tribute to those blood donors who have continued to donate and ask them to maintain this practice. I ask those who were regular donors in the past to consider donating again. The BTSB is also anxious to recruit new donors. People wishing to donate blood and who consider themselves suitable to do so should contact the BTSB and attend one of the mobile donor clinics or the donor centres in Dublin and Cork.

A number of measures have been taken by the BTSB in an effort to improve the current blood supply. First, in anticipation of the current difficulties the board conducted a media campaign over the May bank holiday weekend to attract donors. Second, a new advertising campaign is being launched by the BTSB next week. It will focus on patients, who are the ultimate beneficiaries of blood donations, and will involve print and media advertising at national and local level. Third, additional donor clinics have been arranged in Pelican House for 15 and 16 May. The clinic will be open tomorrow, 15 May from 9.30 a.m. to 4 p.m. and on Saturday, 16 May from 10 a.m. to 4 p.m. Mobile clinics are in Bray, Monaghan and Dublin Airport today and tomorrow, and in Carrigtwohill, County Cork and Garbally, County Limerick this evening. Fourth, arrangements have been made to import approximately 250 units of blood from the Netherlands every week for the next four weeks. Fifth, a national donor services manager was appointed on 20 April. He is at senior management level within the organisation and he will develop safe, efficient and cost-effective services to ensure the collection of sufficient blood and blood components to meet the requirements of the hospital sector. He will also develop a donor care programme to meet the needs of donors.

The national medical director has acknowledged that we cannot continue to rely on other countries to resolve our blood supply problems and I fully support this view. We have a long tradition of self-sufficiency to ensure that blood and blood components used in our hospitals have been donated by donors in Ireland and we must continue to strive to achieve this objective.

These are the measures currently taking place to attract new donors. The BTSB has been making and will continue to make significant efforts to ensure that sufficient blood is available to hospitals. It is fully aware of its responsibilities in this regard but to achieve its objective it relies totally on the goodwill of the population. The Deputy will be aware that the Minister for Health and Children last night urged the public to respond to the BTSB's appeal for donations. I am sure the Deputy would like to join me in adding my voice to the appeal to encourage donors to come forward.

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