I just do not know to which report the Deputy is referring.

Does the Deputy mean an implementation plan of the Boston recommendations?

I am going to take it that it is the Boston review recommendations.

I would need to see what the Deputy is pointing at.

Deputy, I-----

I am trying to answer the Deputy’s question.

The short answer to the Deputy's question is that the implementation plan that I am aware of refers to the implementation of the Boston report recommendations. Yes, those recommendations are being implemented at the moment.

I know that the board has been involved. For example, I am advised that the external review on the springs is reporting to the board. There is a broader conversation to be had on another day about voluntary hospitals and the level of control the State has over hospitals it fully funds.

Temple Street has commissioned an external review to answer those questions. Our external review with Dr. Nayagam is looking at those questions as well.

People would have been aware of the use of the springs. It was based on work done in Utrecht. As far as we could see, though, people were not aware – certainly at hospital level – until late July that these were not medical-grade springs. That is one of the serious questions.

It is fair to say the HPRA is concerned about what has happened. As far as we can tell, the HPRA had no knowledge of this, so this is not a lapse on the part of the HPRA. What it has stated clearly is that, if a surgeon wants to create authorisation on something that is not a mainstream medical product-----

-----there is a process to do that, but that was not done in this case.

I take the Deputy's point, although I would say that the responsibility for ensuring medical-grade materials and supplies are used lies first and foremost with the medical teams and the hospitals themselves. The HPRA is the regulator and it will intervene as it deems appropriate. It is concerned that the processes were not followed in this case.

I thank colleagues for this debate, which has been very useful. There is a lot of detail here. At the core of this are boys and girls and young men and young women, some of whom have had surgery and are very distressed about what has happened and, unfortunately, many of whom are still waiting too long for surgery. Every single thing that we have done, will do and are doing in response to this is to serve the patients, in the first instance, and their families. That is the only thing we are motivated by. As I said p…

Yes. There are wider issues regarding governance. This review is not just looking at the 20 children involved in this situation. The review is looking at that and at the use of non-medical equipment but he will go much wider, not just on Temple Street but across Children's Health Ireland and right across paediatric orthopaedics so that I, and all of us, on behalf of these children and their families, can be satisfied that every single thing that can be done is being done for them. The investment includes both surge…

I thank all Deputies who have contributed to this debate. There are legitimately-held and deeply-held views on this issue and we must listen to each other and do so carefully and respectfully. Ultimately, it is important we do what is right by women in protecting both them and the service providers in accessing healthcare. That is what this is about. In July of last year, the Government approved draft legislation to ensure safe access to premises at which termination services are provided, or may be provided. Since…

As it happens, the issue of Kanturk was raised by Deputy Michael Moynihan with me in recent days and I was able to respond to him in writing last night that there are no plans to close the centre in Kanturk, and I will-----

If you let me finish the sentence, I will get straight to your question, Deputy.

Will I answer?

When it comes to Fermoy, I will revert to the Deputy. I make the point that the HSE is not responsible for running these centres. This is an obligation on GPs to fulfil their out-of-hours obligations. SouthDoc is a private company run by the GPs but we will-----