I propose to take Questions Nos. 133 and 134 together.
My Department has been informed by the Health Information and Quality Authority (HIQA) that it supported discussions between the Health Service Executive, Beaumont Hospital and Cork University Hospital which resulted in the publication in 2010 of Guidelines for the Management of a Patient with a Sub-arachnoid Haemorrhage. Governance of implementation, adherence, monitoring and audit associated with the Guideline is the responsibility of the service providers.
Under the Health Act 2007, HIQA monitors compliance with the National Standards for Safer Better Healthcare, which were published in June 2012. The National Standards are not illness or condition specific but they have been designed so that they can be implemented in all healthcare services, settings and locations. Theme 2 (Effective Care and Support) of the National Standards for Safer Better Healthcare states that the fundamental principle of effective care and support is that it consistently delivers the best achievable outcomes for people using a service within the context of that service, and the resources available to it. The Standards promote the use of National Clinical Guidelines and nationally agreed protocols, care bundles and care pathways where available.