Hospital Staff

Ceisteanna (334)

Clare Daly

Ceist:

334. Deputy Clare Daly asked the Minister for Health if a person (details supplied) has been informed verbally and in writing that a consultant ENT surgeon left the region before finishing their on-call duties while both their absence and refusal to return placed a seriously ill child at risk; and the reason this alleged wrongdoing has not been investigated by the management or directorate of University Hospital Limerick regarding the departure, absence and behaviour of the on-call consultant ENT surgeon, which presented a risk in clinical situations and which has also been submitted onto Q-Pulse. [24954/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Investigations

Ceisteanna (335)

Clare Daly

Ceist:

335. Deputy Clare Daly asked the Minister for Health the reason a person (details supplied) failed to investigate or have investigated the disclosure that over 15 patients had a delayed head and neck cancer diagnosis despite the fact that the clinical incidents had been placed on Q-Pulse by a senior clinician; and the reason the person has failed, neglected or omitted to investigate or have investigated over 30 other serious incident submissions by a consultant ENT surgeon. [24955/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Complaints Procedures

Ceisteanna (336)

Clare Daly

Ceist:

336. Deputy Clare Daly asked the Minister for Health the reason a person (details supplied) determined that serious reportable incidents are not investigated but having opted instead to request a chart review by RCSEng of non-Q-Pulse complaints based on email correspondence and thereby failed to investigate the historical non-defunct NIRF-04 forms despite being informed that more serious cases exist on the Q-Pulse and are lying dormant without meaningful action. [24956/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Deaths

Ceisteanna (337)

Clare Daly

Ceist:

337. Deputy Clare Daly asked the Minister for Health if a person (details supplied) will take accountability and responsibility for their acts and omissions or failures to prevent a death from incompetence with gross mismanagement of a head and neck cancer patient reported to the University Hospital Limerick administration verbally, by email and on formal Q-Pulse. [24957/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Deaths

Ceisteanna (338)

Clare Daly

Ceist:

338. Deputy Clare Daly asked the Minister for Health the reason the death of a head and neck cancer patient which is reported on the Q Pulse system relating to University Hospital Limerick as a serious incident has not been adequately investigated; and the reason the HSE and the hospital have not provided open disclosure to the family of the deceased cancer patient despite the fact that the CEO and directorate had been informed of the circumstances of the preventable death well over a year ago. [24958/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Procedures

Ceisteanna (339)

Clare Daly

Ceist:

339. Deputy Clare Daly asked the Minister for Health if a person (details supplied) or their subordinates gave direction to members of administration staff at the University Hospital Limerick Group to cancel an operating theatre list of at least 15 patients, many of them children but also involving two cancer cases, within 37 hours before planned surgery in May 2018. [24959/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Services

Ceisteanna (340)

Clare Daly

Ceist:

340. Deputy Clare Daly asked the Minister for Health the action or omissions or commission a person (details supplied) has taken following cancer diagnosis of a patient which remain unactioned for 18 months after the attending consultant was initially informed of the histopathology results and consequently that patient is now facing chemotherapy radiation and a poorer prognosis as a consequence. [24960/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Complaints Procedures

Ceisteanna (341)

Clare Daly

Ceist:

341. Deputy Clare Daly asked the Minister for Health if a person (details supplied) failed to investigate a serious complaint regarding an unactioned cancer diagnosis; the reason the complaint and incident remained on Q-Pulse for over six months without discussion with the submitting consultant; the matrix and priority criteria used to select cases of a planned external review; and his views on whether the person acted with bias in having the patients carefully selected for an external chart review by showing a prejudice in having this unactioned complaint being denied priority ahead of other cases. [24961/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Staff

Ceisteanna (342)

Clare Daly

Ceist:

342. Deputy Clare Daly asked the Minister for Health if a person (details supplied) facilitated and aided a junior doctor who has been reported for tampering with notes on several occasions, missing cancer cases, refusing to see urgent patients, unable to assess chronic ear disease safely or known to regularly photograph patients and their notes on their mobile phone without consent being allowed to run clinics unsupervised and remain unreprimanded for their actions. [24962/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As this is a service issue, I have asked the HSE to reply to you directly.

Hospital Services

Ceisteanna (343)

Peadar Tóibín

Ceist:

343. Deputy Peadar Tóibín asked the Minister for Health his views on whether a conflict of interest exists in which medical professionals who have a commercial interest in companies that provide NIPT are also the obstetricians who certify for the provision of an abortion as a result of tests procured in their company. [24964/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

As the issues the Deputy has raised refer to operational matters, I have asked the HSE to reply to you directly.

Hospital Investigations

Ceisteanna (344)

Peadar Tóibín

Ceist:

344. Deputy Peadar Tóibín asked the Minister for Health the person or body that will carry out the independent review of the tragic case in which a healthy unborn baby was aborted under section 11 of the Health (Regulation of Termination of Pregnancy) Act 2018; his views on whether such a review will only be independent if it is carried out by an organisation completely independent of the HSE and the National Maternity Hospital; his further views on whether the current master of the National Maternity Hospital has a statutory responsibility to the hospital in the first instance; and the way in which he plans to ensure that there is no conflict of interest that could affect an independent investigation. [24966/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

I am aware of the case the Deputy refers to in his question, however, it would be highly inappropriate for me to comment on an individual case. Our overriding concern at this time must be for the couple involved.

I have been advised that steps are being taken to have an independent review of this case undertaken. It is important to await the results of that review, which will allow for a better understanding of what has occurred. It will also allow for any learning that may emerge to be disseminated throughout the health system.

I have requested the HSE to reply to you directly in relation to the operational issues that you have raised.

Abortion Services Provision

Ceisteanna (345, 346)

Peadar Tóibín

Ceist:

345. Deputy Peadar Tóibín asked the Minister for Health his plans to ensure that in future no abortion can be carried out under section 11 of the Health (Regulation of Termination of Pregnancy) Act 2018 without confirmation by long-term culture testing and amniocentesis; and if he will institute medical guidelines and/or change the law to ensure that such a situation can never occur again. [24967/19]

Amharc ar fhreagra

Peadar Tóibín

Ceist:

346. Deputy Peadar Tóibín asked the Minister for Health the number of abortions carried out under section 11 of the Health (Regulation of Termination of Pregnancy) Act 2018 without the use of genetic CVS cell culture testing and/or without the obstetrician who is certifying the abortion actually meeting with the mother. [24968/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

I propose to take Questions Nos. 345 and 346 together.

As the Deputy will be aware, Section 11 of the Health (Regulation of Termination of Pregnancy) Act 2018 sets out the law on access to termination of pregnancy in cases where there is a condition present affecting the foetus that is likely to lead to the death of the foetus.

Section 11 provides that a termination of pregnancy may be carried out where two medical practitioners, having examined the pregnant woman, are of the reasonable opinion formed in good faith that there is present a condition affecting the foetus that is likely to lead to the death of the foetus either before, or within 28 days of, birth.

The appropriate medical body, the Institute of Obstetricians and Gynaecologists and Obstetricians based in the Royal College of Physicians of Ireland, has published Interim Clinical Guidance on Termination of Pregnancy in a number of scenarios, including the Pathway for Management of Fatal Fetal Abnormalities and-or Life-Limiting Conditions Diagnosed During Pregnancy.

Under section 20 of the Health (Regulation of Termination of Pregnancy) Act 2018, a notification of each termination of pregnancy carried out under the legislation must be sent to me, as Minister for Health, within 28 days of it being carried out. I must prepare a report on the notifications received in a given year not later than 30 June the following year and lay it before the Houses of the Oireachtas. The report may then be published. No information on notifications received under the Act will be released until after the annual report for 2019 has been laid before the Houses of the Oireachtas on or before 30 June 2020.

Air Ambulance Service Operations

Ceisteanna (347)

John Brassil

Ceist:

347. Deputy John Brassil asked the Minister for Health when he will issue a decision regarding the date the community rapid response air ambulance can start operation; and if he will make a statement on the matter. [24973/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

The HSE National Ambulance Service (NAS) has engaged with the Irish Community Rapid Response (ICRR) regarding the establishment of a charitably funded Helicopter Emergency Medical Service in the South. A Service Level Agreement, developed between the NAS and ICRR, was formally signed by the HSE on 13 June 2019.

The NAS and the ICRR are currently in discussions on agreeing an appropriate date for the commencement of this service.

Patient Transfers

Ceisteanna (348)

Pearse Doherty

Ceist:

348. Deputy Pearse Doherty asked the Minister for Health when a person (details supplied) in County Donegal can expect to be transferred from Sligo University Hospital to Beaumont Hospital, Dublin; and if he will make a statement on the matter. [24975/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

In relation to the particular query raised, as this is a service matter, I have asked the HSE to reply to the Deputy directly.

Maternity Services Provision

Ceisteanna (349, 350, 351, 352)

Micheál Martin

Ceist:

349. Deputy Micheál Martin asked the Minister for Health the status of the ownership and management including board arrangements of Holles Street hospital maternity services when it is located on the St. Vincent’s Hospital site; and if he will make a statement on the matter. [24979/19]

Amharc ar fhreagra

Micheál Martin

Ceist:

350. Deputy Micheál Martin asked the Minister for Health if he has met officials recently regarding the Holles Street maternity hospital being located on the St. Vincent’s Hospital site; and if he will make a statement on the matter. [24980/19]

Amharc ar fhreagra

Micheál Martin

Ceist:

351. Deputy Micheál Martin asked the Minister for Health if there had been progress on the future management and board control of the Holles Street maternity hospital when located on the St. Vincent’s Hospital site; and if he will make a statement on the matter. [24981/19]

Amharc ar fhreagra

Micheál Martin

Ceist:

352. Deputy Micheál Martin asked the Minister for Health if the recommendations of the Mulvey report on the future board management of Holles Street hospital when on the St. Vincent’s Hospital site have been implemented in full; if he has requested progress on same; and if he will make a statement on the matter. [24982/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

I propose to take Questions Nos. 349 to 352, inclusive, together.

As the Deputy will be aware, following extensive mediation discussions, agreement was reached between the St. Vincent’s Healthcare Group and the National Maternity Hospital (NMH) on the relocation of the NMH to the Elm Park campus. The terms of this agreement provide for the establishment of a new company which will have clinical and operational, as well as financial and budgetary, independence in the provision of maternity, gynaecology and neonatal services.

In line with the Mulvey Agreement, the Board of the proposed National Maternity Hospital at Elm Park DAC will comprise 9 directors; 4 nominated by SVHG, 4 by NMH, and 1 will be an international expert in obstetrics and gynaecology. Given the level of State investment, I have sought, and received, the agreement of both the NMH and St. Vincent’s Healthcare Group that the Board of the new NMH DAC will be competency-based and will include a Public Interest representative. St. Vincent’s Healthcare Group has also confirmed the process by which the Religious Sisters of Charity will withdraw from the Group and transfer their shareholding to a new company St. Vincent’s Holdings CLG. The Sisters have, of course, already resigned from the Group’s Board.

My Department continues to engage with St. Vincent’s Healthcare Group and the NMH to develop a legal framework to protect the State’s significant investment in the new hospital. St. Vincent’s Healthcare Group has agreed in principle to provide the State with a 99-year lease of the land upon which the new maternity hospital will be built, and this will allow the State to retain ownership of the new facility.

The overall framework being put in place will unequivocally copper-fasten the principle that patient care in the new hospital will be delivered without religious, ethnic or other distinction and that any medical procedure which is in accordance with the laws of the land will be carried out there.

National Treatment Purchase Fund Data

Ceisteanna (353)

Jack Chambers

Ceist:

353. Deputy Jack Chambers asked the Minister for Health the division of spending within the 2018 €50 million NTPF allocation; the financial split that occurred between the public and private hospital systems; the amount paid to each public and private hospital that participated in the scheme; and if he will make a statement on the matter. [25001/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

The information requested by the Deputy is currently being collated by officials in my Department and will be provided to the Deputy directly as soon as it becomes available.

Hospital Appointments Status

Ceisteanna (354)

Martin Ferris

Ceist:

354. Deputy Martin Ferris asked the Minister for Health when a person (details supplied) will receive an ENT appointment at University Hospital Kerry; and if he will make a statement on the matter. [25010/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

The National Waiting List Management Policy, a standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, since January 2014, has been developed to ensure that all administrative, managerial and clinical staff follow an agreed national minimum standard for the management and administration of waiting lists for scheduled care. This policy, which has been adopted by the HSE, sets out the processes that hospitals are to implement to manage waiting lists.

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.