As I have previously indicated to the House a number of difficulties have emerged since the procedure for the Notification of Suspected Cases of Abuse between health boards and the Garda was launched. These include the reporting of cases of teenage pregnacies and the position of health board counselling services providing therapeutic support to victims of abuse. The discussion document on mandatory reporting, Putting Children First, which I launched last month, addresses these and many other issues involved in the reporting of cases of abuse. I intend to review all guidelines in the light of the consultative process which I have initiated on mandatory reporting.
One of the central recommendations of the report of the Kilkenny incest investigation team concerned the need for inter-programme collaboration between hospital and community care staff on matters concerning the identification, notification and follow-up of child abuse. I am satisfied that all health boards are taking steps to improve existing arrangements for the assessment and management of child abuse cases, with particular importance being attached to co-operation and co-ordination between the hospital and community care programmes of health services.