Chiropractors and radiology regulations
Deputy O'Rourke and two colleagues asked the Government to amend regulations so qualified chiropractors are included and can retain access to X-ray services. The Taoiseach said the directive is an EU radiation-safety measure, with health transposing the medical parts, and that it protects the public and patients.
On promised legislation on health, in view of the recent submission by the Chiropractic Association of Ireland, will the Taoiseach or the Minister for Health consider amending the wording of new regulations in order that qualified chiropractors can be included in the regulatory framework? Otherwise many jobs will be placed in jeopardy and potentially lost. What are the views of the Taoiseach and the Minister for Health on this matter?
Comment on this
On the same issue, I support the sentiments of my colleague, Deputy Frank O'Rourke. I ask the Minister for Health to defer the signing of the proposed document until such time as a full evaluation of the necessary work has been completed and the necessity for chiropractors to have unimpeded access to their own X-ray services is accepted, as has been the case.
Comment on this
I lend my support to the case made by the Chiropractic Association of Ireland. As Deputies will agree, chiropractors provide an invaluable service. Some compromise must be found which recognises the sector and what it delivers in towns and villages nationwide. I support the sentiments expressed by the two previous speakers.
Comment on this
I am advised by the Minister for Health that the basic safety standards directive is a European directive which must be transposed into Irish law by 6 February. Overall responsibility for the directive rests with the Department of Communications, Climate Action and Environment as it speaks to radiological protection. However, the Department of Health is transposing the medical provisions included in the directive. While ionising radiation has many beneficial applications, its use increases potential health hazards if poorly used or contained. The directive protects members of the public, patients, workers and others from all forms of radiation, including in medical settings.
The Department of Health will finalise the medical provisions of the directive in the coming weeks and existing legislation in this area will be revoked and replaced with the new regulations. The regulations will designate those who may refer for radiological tests and those who may carry them out and other functions. The existing regulations from 2002 do not designate chiropractors as referrers or practitioners. Chiropractors who refer individuals for medical exposures, carry out medical exposures or other related functions are not in compliance with the existing regulations. There was an anomaly in the previous regulations whereby no inspection or enforcement provisions were included. In the new regulations the Health Information and Quality Authority, HIQA, will have the inspection and enforcement powers to enforce compliance and contravention of the new regulations will be an offence. The new regulations will designate those who may refer for radiological tests, those who may carry them out and other functions. It is proposed to designate nurses, doctors, dentists and radiographers as appropriate persons. The proposed designation of the relevant professionals is based on patient safety and public health considerations and follows on from the advice of the chief medical officer.