logo
Calls for inquiry into prescribing of anti-epilepsy drug to begin

Calls for inquiry into prescribing of anti-epilepsy drug to begin

RTÉ News​30-05-2025

The Minister for Health has been urged to commence a long-awaited inquiry into the historical prescribing of an anti-epilepsy drug to pregnant women without delay.
Families affected by sodium valproate, which can cause serious birth defects and development disorders, were told last year that the inquiry would begin 'within weeks'.
However, despite a chairperson being appointed last June, the inquiry has yet to start.
Karen Keely, from the Organisation for Anticonvulsant Syndromes Ireland, has said she is "dumbfounded and absolutely shocked" over the delay.
All of Ms Keely's three sons - 38-year-old Harry, Lee who is 29, and 26-year-old Lorcan - have been impacted and require round-the-clock care.
Speaking from her home in Ratoath, Co Meath, she said she has been fighting for an inquiry for almost a decade and thought it would be halfway through by now.
"I'm gutted... there's no words for how I feel, because you know you're living with a guilt knowing what you know, and you're still fighting for something," she said.
According to the Department of Health, prior to the formal commencement of the inquiry, "it is necessary to have in place regulations made under the Data Protection Act 2018".
This, it said, is necessary to ensure that the inquiry has a "robust legal basis" and to support its data protection obligations.
However, Ms Keely said the delay is unacceptable.
"The only thing that's holding up in this inquiry is the data regulations. And it does not take a year to put data regulations in place. It doesn't take a year," she said.
"I hope that the data regulations are put in place as soon as possible. I hope the inquiry is started, like yesterday. It needs to start. The Irish voices literally need to be heard. They're the only voices that have not been heard."
The Department has previously stated that the non-statutory inquiry will document the evolution of sodium valproate regulation, the practices and controls in relation to its prescribing, and the timeline of developments in scientific knowledge about the potential impact of the drug on foetal development.
It's also said that sodium valproate is an effective medication and continues to be an essential part of treatment plans and that patients shouldn't make changes to their treatment without first consulting their doctor.
However, it is estimated over 1,000 children have been impacted since the 1970s, with the most recent cases dating to the 2010s.
Solicitor Ciara McPhillips represents many of the families and said it is been an incredibly upsetting time for them.
"We understand the reason for that is that data protection regulations, which are obviously important to the inquiry, which will deal with personal data, have not been finalise. Families are very frustrated and feel that last year was a false dawn."
She said the timeline set out by the then minister for health, Stephen Donnelly, last June was "overly optimistic", but said regardless of that, "it's incredibly frustrating for families who have campaigned for this for years and who have children who are very much affected by this in a life-altering way".
"Behind all of that is a deep concern for what will happen to their children when they're no longer here and perhaps no longer able to continue the fight on their behalf," she said.
Ms Keely said it is imperative that the necessary data regulations are put in place, and the inquiry starts as soon as possible.
"I want to know who knew what and when. I want people accountable for their actions, and be responsible for their actions," she said.
She also wants more than the facts established.
"Redress and an apology. I should have got the apology years ago," she said, before outlining the care her three sons require and the toll it has taken on her.
"I've been doing this since I'm 18 years of age. I've been going to medical appointments, physios, speech, surgeries for every single thing you can think of.
"When they come home for the surgeries, you have to really look after them. Then you have the incontinence you have to look after … and I have one child also who's going through his own issues and he's been put on antidepressants for them."
"It's so draining they need constant care. You know, it's 24 hours. There's no stop. There's no stop button on this," she said.
Any free time she gets, she pours into campaigning to get the inquiry up and running.
In a statement, the Department of Health said since the appointment of Bríd O'Flaherty as chair, "significant work has been carried out to put in place the necessary arrangements to operationalise and establish the inquiry".
It said the necessary data regulations are currently being drafted and that when they are finalised, it is anticipated that "the public facing elements of the inquiry will commence shortly thereafter".
Ms Keely's message to the Minister is simple: "You need to get this inquiry up and running, you need to get this sorted."

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

FactCheck: Have one in eight women in Ireland visited an emergency department after an abortion?
FactCheck: Have one in eight women in Ireland visited an emergency department after an abortion?

The Journal

time11 hours ago

  • The Journal

FactCheck: Have one in eight women in Ireland visited an emergency department after an abortion?

THIS WEEK, AN anti-abortion group called for a meeting with the Minister for Health over concerns about a study into medical outcomes of Irish women who had abortions. The Pro Life Campaign highlighted the study to claim that the legalisation of abortion in 2018 has led to 'adverse consequences' for women that are not being acknowledged. They claim that the study reveals one in eight Irish women has visited the emergency department after having an abortion. But is this figure accurate? The Claim The Pro Life Campaign claim that one in eight – or 12% – of women in Ireland have visited a hospital emergency department after having an abortion. An article on the group's website is headed: ' One in Eight Women in Ireland Visited Emergency Department After Abortion '. It also refers to a study of Irish women carried out between 2019 and 2022, and states that '12% of the women who underwent abortions during this period presented to an emergency department on an unplanned basis'. Pro Life Campaign Pro Life Campaign The Evidence The study referenced in the article called 'Termination of early pregnancy in Ireland: Review of the first four years of inpatient service at a tertiary maternity unit', which was published in the Irish Journal of Sociology on 28 May. The study analysed outcomes for 149 women who had abortions at a single, unnamed maternity hospital in the south of Ireland between 2019 and 2022. It is a broad study that looks at the experiences of the women, where they came from, whether they had been pregnant before, the length of time that they had been pregnant before seeking an abortion, whether they experienced any complications, and other aspects of their care. It is not a nationally representative survey, such as those carried out for opinion polls in newspapers or occasionally for advertising purposes, both of which involve carefully weighting responses by categories such as gender, age, or social class. The findings are instead based on the medical outcomes of a select group of women who attended one hospital over four years; those findings cannot be extrapolated to the wider population to represent the experience of all Irish women. The study is not even representative of all women who had an abortion during the years 2019 to 2022. It only looked at women who had what is called a medical abortion – a termination of pregnancy that is induced by taking medication – after they presented to a hospital to receive one (as opposed to doing so in a community setting). It did not include women who had a medical abortion after being prescribed medication by a GP in a community setting, which is permitted when pregnancies are under nine weeks. This is crucial, because the study says that 90% of terminations in Ireland are community-based, which is relatively unique by international standards. Hospital-based terminations of pregnancy – such as those analysed in the study – make up just 10% of abortions in Ireland. Furthermore, the study excluded those who first presented to the hospital for surgical abortions, which involve the use of instruments and women going under anaesthetic. It is therefore completely false to suggest that one-in-eight women who had an abortion in Ireland since the procedure was legalised had to go to an emergency department afterwards. So where did the figure come from? Advertisement The Journal contacted the Pro Life Campaign, who referred us to a sample size outlined under 'Table 4′ of the study, which deals with 'complications' that resulted from some abortions. The section on 'complications' describes how some of the women involved in the study required blood transfusions and extended hospital stays after receiving an abortion, while there were also a small number of admissions to high-dependency units. The group of women who were recorded as suffering 'complications' was 34 – the majority of the 149 women did not. Those 34 women – or 23% of the women in the study – were counted because they sought a medical review after they were discharged from the hospital. Of those 34 women, 18 involved unplanned presentations by individuals to the emergency department (the other 16 attended for scheduled clinic appointments). That is the figure referred to in the claim by the Pro Life Campaign: 18 out of 149 women – equivalent to roughly one in eight, or 12% – made an unplanned presentation to an emergency department after terminating their pregnancy. The study states that these presentations were 'primarily due to concerns regarding infection or heavy/irregular vaginal bleeding'. In response to the query about its headline, a spokesperson for the Pro Life Campaign said the group was 'not referring to the entire female population of Ireland, whether or not they had abortions'. (At the time of publication, the claim that one-in-eight women in Ireland visited an emergency department after having an abortion still featured in a headline and graphic on the group's website.) The group also called for more research and said it 'remains to be clarified' whether the findings would be replicated among the wider population. 'It is normal for research studies to obtain data from a specific sample of the population,' the spokesperson said. 'Most media reports, including those in The Journal , do not cover a statistical discussion of how representative they are of the wider population.' The group highlighted two articles by this publication by way of example, both of which involved nationally representative surveys carried out among the wider population, a contrast to the abortion study which involved a relatively small group of women at one hospital. The authors of the study concluded that there were 'low complication rates' among the women whose abortion procedures were analysed, something that is in keeping with international studies that show that early abortions (ie before 12 weeks) are safe. It should be noted that in any area of healthcare, complicated outcomes are – because of their nature – more likely to be seen in a hospital setting rather than by a GP in the community. Rather than suggesting that the complicated outcomes were a cause for concern about abortion services, the study concluded by suggesting there should be more open access to abortion in Ireland, and pointed to the negative impact of the mandatory three-day wait that women must undergo between being certified by a GP and having an abortion. The Verdict The Pro Life Campaign claimed that one out of every eight women in Ireland has visited an emergency department after an abortion. The group also said that '12% of the women who underwent abortions' between 2019 and 2022 made an unplanned visit to an emergency department afterwards. The figure is based on 18 (or 12%) of 149 women who had abortions at one hospital in the south of the country over a four-year period, whose experiences were analysed as part of a recently published study. It is not a nationally representative sample, and did not include those who specifically presented to the hospital for surgical abortions or the 90% of women whose terminations take place in a community setting. In responses to queries from The Journal , the group said it was not referring to the entire population of Ireland, and defended its wording about the study's overall findings about 'women in Ireland' as normal practice by the media. We therefore rate the claim that one-in-eight women who had abortions in Ireland over a four-year period as FALSE . As per our verdict guide , this means the claim is inaccurate. The Journal's FactCheck is a signatory to the International Fact-Checking Network's Code of Principles. You can read it here . For information on how FactCheck works, what the verdicts mean, and how you can take part, check out our Reader's Guide here . You can read about the team of editors and reporters who work on the factchecks here . Readers like you are keeping these stories free for everyone... It is vital that we surface facts from noise. Articles like this one brings you clarity, transparency and balance so you can make well-informed decisions. We set up FactCheck in 2016 to proactively expose false or misleading information, but to continue to deliver on this mission we need your support. Over 5,000 readers like you support us. If you can, please consider setting up a monthly payment or making a once-off donation to keep news free to everyone. Learn More Support The Journal

Multinational nursing home operators do not deliver lower standards of care, says spokesman
Multinational nursing home operators do not deliver lower standards of care, says spokesman

Irish Times

time13 hours ago

  • Irish Times

Multinational nursing home operators do not deliver lower standards of care, says spokesman

There is no evidence to support the claim that private sector nursing homes provide poorer care than public ones, a spokesman for the private and voluntary nursing home sector has said. Tadhg Daly, Chief Executive of Nursing Homes Ireland was speaking in the wake of an RTÉ programme on two Irish nursing homes run by French multinational Emeis . The undercover documentary alleged serious failings in the care being delivered. Mr Daly cited a 15-year review of the sector last year by the Health Information and Quality Authority (Hiqa) that noted a 'clear trend' of large corporate groups purchasing Irish nursing homes but found no associated negative effect on care. The report said Hiqa 'does not currently have any specific concerns' regarding the quality of care provided in nursing homes that are owned or operated by these large corporate groups. READ MORE [ What is Emeis and where are its Irish care homes located? Opens in new window ] However, it said the consolidation of nursing home ownership by a small number of large operators represented a 'systemic risk' that should be addressed as part of an overall strategy for the sector. Mr Daly said there must be a regulatory regime that delivers the 'high quality care that our older people require and deserve'. The policy of 'Ireland Inc' was to encourage foreign direct investment in all sectors of the economy, including the healthcare sector, he said. 'You can have bad outcomes in the private system and bad outcomes in the public system,' he said. [ Review of all nursing homes operated by Emeis Ireland requested by Department of Health Opens in new window ] Emeis Ireland, formerly Orpea, apologised for what was revealed by the RTÉ documentary, which involved secret filming inside The Residence, in Portlaoise, Co Laois, and the Beneavin Manor nursing home, in Glasnevin, Dublin 11. Minister for Older People Kieran O'Donnell met Hiqa in the wake of the programme which he described as 'extremely distressing'. The share price of the French multinational, then called Orpea, collapsed a few years ago following the publication of a book in France about care standards in its homes, with a French state investment fund eventually bailing it out. The fund remains the largest shareholder of the business, which had global revenues of €5.6 billion last year. The French multinational is the largest operator in the Irish nursing home sector, with its Irish subsidiaries owned by way of a company in Luxembourg called Central & Eastern Europe Health Care Services Holding Sarl. Shane Scanlan, chief executive of The Alliance – Supporting Nursing Homes, a nursing home trade association said smaller independent nursing home groups provide a better standard of care in general than multinational groups do, because they are 'on the ground' and their owners are more in touch with what is happening in their home. 'Emeis has €5.6 billion generated in global funding and you look at the programme and there aren't even sheets, basic incontinence wear, there's poor staffing levels. That's completely unacceptable from an organisation generating that level of revenue.' A Hiqa report from an inspection of the Portlaoise nursing home in February noted a weak organisation structure was affecting the quality of care being provided. It also noted 'noncompliance' in a number of key areas. There were 70 residents in the home at the time of the visit. Although changes had been introduced in the wake of criticisms made after a previous inspection, the report said, 'this inspection found that the overall governance and management of the centre had deteriorated since'. A November 2024 inspection of the Beneavin home, where there were 72 residents at the time, did not find any instance of noncompliance. 'From what the residents told the inspector and from what was observed, it was evident that residents were very happy living in Firstcare Beneavin Manor and their rights were respected in how they spent their days,' the report said. In a statement on Friday, Emeis noted a request from the Minister for Older People for Hiqa to conduct a national review of its nursing home facilities and said it will co-operate fully with all regulatory and statutory bodies. It said Hiqa and the HSE have visited Beneavin Manor and The Residence Portlaoise, and it has separately initiated on-site audits and 'detailed corrective actions'. It said the 'shocking and unacceptable' footage showing 'poor and abusive practice' is not representative of the professionalism and commitment of its employees in Ireland.

Taoiseach calls for HIQA's regulations to be examined following RTÉ nursing home investigation
Taoiseach calls for HIQA's regulations to be examined following RTÉ nursing home investigation

The Journal

time17 hours ago

  • The Journal

Taoiseach calls for HIQA's regulations to be examined following RTÉ nursing home investigation

TAOISEACH MICHEÁL MARTIN has called for a review of HIQA's regulatory framework after an RTÉ Investigates programme highlighted poor treatment and practice within two privately-owned care homes. Both care facilities – The Residence Portlaoise and Beneavin Manor in Glasnevin – are under the ownership of Emeis Ireland, formerly known as Orpea. Emeis operates 27 nursing homes across the country after entering the Irish market in 2022. It was revealed this week that the nursing homes regulator HIQA (Health Information and Quality Authority) had stopped new admissions to The Residence in Portlaoise in April. HIQA said it was 'very concerned' over the 'distressing' scenes in the RTÉ programme. Speaking to reporters today, Martin described the scenes in the RTÉ Investigates programme as 'horrific, shocking and absolutely unacceptable'. He said there was a lack of a 'clear ethos and framework' and that there are 'issues for HIQA's approach to this'. 'I think HIQA will be examining that aspect of it,' said Martin, 'in terms of the methodology used to inspect. Advertisement 'Are there better ways of getting under this to make sure that this does not happen again.' He then called for 'increased vigilance from the regulatory approach' and added that this is 'something that the government will be looking at'. Martin said he has spoken with both Kieran O'Donnell, Minister of State for Older People, and Health Minister Jennifer Carroll MacNeill on the issue. He further remarked that the issue is 'fundamentally about regulation' but added that HIQA is 'well resourced'. And while Martin said HIQA has been 'effective and impactful in many areas', he added that 'there has to be an examination' because the 'regulatory framework didn't catch very horrific and shocking behaviour towards elderly people in nursing homes'. Martin also said that there will now be a 'full look' at all the homes under Emeis's ownership. Meanwhile, Martin remarked that Ireland is 'one of the more young populations in Europe, but we're aging fast'. However, he said there is a 'multi-stranded approach to aging' by the government and that a new national safeguarding policy is being developed. But while he remarked that this new policy 'would be an additional help', he added: 'But fundamentally, it's behaviour on a day-to-day basis and how homes are operated, and it's the regulation of that that ultimately will still have to be the first response and key response to situations like this.' He also said there will continue to be a mix of public and private care homes due to the need to be 'absolutely realistic and pragmatic about the population growth and the aging of the population'. Readers like you are keeping these stories free for everyone... A mix of advertising and supporting contributions helps keep paywalls away from valuable information like this article. Over 5,000 readers like you have already stepped up and support us with a monthly payment or a once-off donation. Learn More Support The Journal

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store