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Dáil Éireann díospóireacht -
Wednesday, 6 Nov 1991

Vol. 412 No. 2

Adjournment Debate. - Medical Treatment for County Galway Child.

At the end of July 1991 Deirdre Brosnan, an 11-year old girl from Glenamaddy, County Galway, and her parents, were told to go home from Beaumont Hospital, Dublin, on the absolute understanding that they would be contacted by the hospital authorities a few days later with a view to getting special laser treatment organised for her in the United Kingdom.

The girl previously underwent an operation to remove a tumour from her spine. However, the medical opinion in Beaumont was that she should have laser treatment. Her parents were informed that this would have to take place in the United Kingdom. The House will appreciate the trauma this family were going through.

Deirdre made good progress after the initial operation but seemed to be deteriorating during the early part of this past summer. When she was in Beaumont both her parents and her sister, who gave up her job to look after her, were constantly at her bedside. The family are very small farmers and live in a council house recently provided by Galway County Council. The thought of having to send their daughter to a hospital in the United Kingdom was quite a shock as this family considered Dublin to be a long distance, never mind the United Kingdom. However, they decided that their daughter's health was of paramount importance and they got their bags packed the next morning.

The call did not come. August passed as did September and still no word from Beaumont. This was not the fault of the Brosnan family. They spent a great deal of money they did not have on phone calls to the hospital but never got a real answer. They enlisted the help of no less than three medics, including a consultant, some of whom spent endless hours on the phone to Beaumont Hospital to try to find out what was happening.

The month of October came and the Brosnan family were literally out of their minds. Their precious daughter was deteriorating in front of their eyes and seemingly nobody could help. The family in desperation asked me to do what I could. I immediatley rang the office of the Minister for Health and I must say his staff were very accommodating. A few days later the hospital did make contact with the family. Deirdre Brosnan was admitted to Beaumont the following week and she is now in hospital in Nottingham in England.

I thank the Minister for his intervention and I thank the media, both local and national, who carried the story but many questions needed answering. How could any health service be so uncaring? Who was responsible for this inhuman act? Will any action be taken against the people who caused so much hardship to this family? Will the ten weeks delay have a profound effect on Deirdre Brosnan's health? Will the Minister investigate the matter in the context of ensuring that this is never allowed to happen to another family?

There is a final aspect to this tragic story. It became apparent a few weeks ago that this laser treatment was available at the Mater Private in Dublin. However, because the Brosnans were medical card holders it was deemed by the hospital and the health board that Deirdre would have to go to Nottingham. Surely in the circumstances something could have been done to have the operation carried out in Dublin, considering the sad exprience the Brosnans were put through.

There is something terribly wrong in regard to this case. I sincerely hope that the treatment the child is receiving has not come too late. I should appreciate an answer from the Minister to the questions I have raised.

I thank Deputy Connaughton for raising this matter and I welcome the opportunity to explain the position in relation to this patient. I would consider it inappropriate for me to discuss the clinical details of an individual patient in the Dáil. I understand that this girl was an in-patient at Beaumont Hospital from 11 July 1991 to 2 August 1991 and that she attended for an out-patient appointment at the same hospital on 19 September this year.

It never happened.

My information is that she attended the same hospital on 19 September 1991. The hospital management are of the opinion that the consultant concerned had been in contact with the child's parents.

Absolutely untrue.

The Deputy stated that the child was involved with a number of medical people in the hospital.

They were trying to get an answer.

Decisions about the management of a patient are not normally conveyed to the hospital authority as this is a confidential matter between the patient and the consultant, unless these issues were referred by the consultant or the family to the authority for their attention. I have been informed that the hospital have not received any correspondence from the child's parents in relation to her attendance at clinics or decisions taken about the management of her medical condition. That is a matter between the child and her consultant. It was only as a result of queries from the media that the hospital became aware of the parents' concern.

The Minister's office first.

As regards the arrangements for the referral of this patient for treatment abroad, I have been informed that an application was made to the Western Health Board on 21 October 1991 for assistance towards the cost of medical treatment for this patient outside the State. The Western Health Board contacted my Department on 23 October 1991 requesting approval to refer this patient abroad for treatment. Approval for this referral was provided by my Department within 24 hours and the board were advised accordingly on 24 October 1991. I understand that the patient travelled to Nottingham for her operation on 29 October 1991. This matter was dealt with in accordance with the required protocols and as expeditiously as possible, once the hospital management became aware of it.

I am sure that the Deputy is aware that Beaumont Hospital is the national centre for neurosurgical treatment in the State. It is the policy of the Beaumont Hospital board that where a consultant surgeon judges that he does not have the expertise to deal with a particular patient he will discuss the matter with his consultant neurosurgical colleagues in order to determine if the required expertise is available within the hospital. It has always been the policy of the hospital that, if the required expertise is not available, the patient may be referred abroad for treatment. This decision is a clinical matter for the consultants concerned and it is not a matter in which I have any involvement, other than approving the cost of sending the patient abroad. We never refuse once the necessary protocols are observed, namely that the treatment is not available in this country and secondly that the treatment is necessary and will offer the patient some hope of improvement. I hope the child will do very well as a result of her operation in Nottingham.

The Dáil adjourned at 9.10 p.m. until 10.30 a.m. on Thursday, 7 November 1991.

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