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Dáil
‹ Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation

Maternity restrictions and hospital governance

Summary

Deputy Whitmore challenged the continued maternity visiting restrictions and asked when they would end; the Taoiseach said hospitals were now compliant with guidance. Deputy Bríd Smith then raised the national maternity hospital’s governance, and the Taoiseach said services for women would be available and that stronger public-interest board representation was being pursued.

Despite all the promises and commitments from the Government and the Minister for Health on maternity restrictions, which are unfair, unethical and inhumane, they remain in place in hospitals around the country. Women still face their labour journey and suffer miscarriages without their support partners and deal with the after-effects of Caesarean sections without having supports in place. It is exhausting being a woman in this country. We have to fight again and again for things that should simply come as basic services. Will the Taoiseach tell us when this will finally be resolved? Who is in charge when it comes to maternity restrictions? The Taoiseach has repeatedly said they will be lifted across the country and it has not happened. Who has the final say on this?

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This issue has been raised on numerous occasions in the House. In mid-May, the HSE advised that it had conducted a review of compliance in maternity hospitals units based on national guidance around visitations.

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Why are women still waiting?

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At that stage, 14 of the 19 maternity hospital units were fully compliant with the guidance. Last week, that number was 16 and I understand from a note I have to hand that the three remaining hospitals were to be fully compliant with current guidance by 21 June, last Monday. Consequently, we are being told they are all compliant. If the Deputy knows of hospitals to the contrary, I will gladly take that on board. We know who is on charge from a clinical autonomy point of view in terms of maternity hospitals. It is the masters in places like the Rotunda and the Coombe. The HSE has issued clear guidance to all maternity units. It gave a two-week period to require all hospitals to address all local logistical issues around the guidance.

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The core issues around the national maternity hospital remain unaddressed. I do not believe the women of Ireland are reassured by recent statements and assurances from the Taoiseach and the Government.

Three years post repeal, we only have one in ten GPs delivering abortion services and about half of maternity hospitals. This is a huge issue for marginalised women and for women in rural Ireland. Some of the professionals who I have spoken recently have been genuine in stating they believe all services will be available in the new national maternity hospital but that misses the core point. Aside from the ownership of the land, there is the question of governance and control. We now know four members of the board will be appointed by the new St. Vincent's Holdings and four by the new maternity hospital designated activity company, DAC, which will be a subsidiary of St. Vincent's Holdings. We have never seen the legal documents surrounding this issue and the women of Ireland need answers. We are hurtling towards a recess. This House will rise in about two weeks' time and the issue seems to have been dropped by the Taoiseach. We need an answer.

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We have given an answer repeatedly on the services that will be available in the new national maternity hospital. All services women are entitled to avail of in this State will be available in the new hospital, without question.

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I did not ask about that. I asked about governance.

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That is a clear assertion I am making and it is based on agreements going back over two to three years, most recently in the documents the HSE and others have engaged on.

On governance, I have made my view clear on that and the Minister is engaging with stakeholders on stronger public interest representation on the board of the new hospital. That is important for a range of reasons.

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