HSE Midland Regional Hospital, Portlaoise Perinatal Deaths (2006-date)

Chief Medical Officer Report to the Minister for Health (24th February 2014)

The Minister for Health Dr. James Reilly, T.D. today outlined the findings of the report from Dr Tony Holohan, Chief Medical Officer, on Portlaoise Hospital Maternity Services (PHMS) focusing on perinatal deaths (2006-date) and related matters. The Report was prepared following a Primetime Investigates programme relating to Portlaoise Hospital Maternity Services (PHMS) on 30th January 2014.

Dr Reilly described how his involvement with the families made such a significant impression on him.” I very much admire their strength and tenacity and I respect their commitment to ensure that their babies’ stories have been heard. I can assure them that the actions they have taken resulting in this report will make a significant difference to how we manage our maternity services in future.”

The Report of the Chief Medical Officer recognises that clear failures in the management of risk and patient safety occurred in Portlaoise Hospital Maternity Service. These failures were at a number of levels, both local and national. One of the overall conclusions of the Report is that Portlaoise Hospital Maternity Service cannot be regarded as safe and sustainable within its current governance arrangements. In response to this and with immediate effect, the HSE has put in place a transition team who are now in control of maternity services at Portlaoise Hospital. This team, comprising individuals with appropriate clinical and managerial expertise, will oversee the planning and execution of the orderly integration of PHMS within a Managed Clinical Network under a singular governance model with the Coombe Women & Infant University Hospital.

Dr Reilly outlining his response to the Report said “I am conscious that recent events in Portlaoise have damaged public confidence in the hospital. However, I am satisfied that Portlaoise Hospital will, through the establishment of a managed clinical network with the Coombe, be supported to ensure the provision of improved, safer, patient centred maternity services.”

“This Report however, is not just for Portlaoise Hospital Maternity Services. There are implications from this Report for other services in the hospital and for other maternity services, and to this end I am requesting the HSE to look at other similar sized maternity services around the country and consider their incorporation into managed clinical networks within their relevant hospital group. I am also concerned about staffing and I am directing a swift analysis of midwifery workforce planning across the country to be completed by the HSE. “

In addition the Minister in accordance with Section 9 (2) of the Health Act 2007 is directing HIQA to undertake an immediate investigation of Portlaoise Hospital Maternity Services which will report by the end of 2014.

The Minister acknowledged the depth and comprehensiveness of the Chief Medical Officer Report and its contribution to not only PHMS but also to patient safety across the whole health system. The Report will inform the development of the new National Maternity Services Strategy which will be published later this year.

Ends

Notes for Editors

The Report of the Chief Medical Officer can be accessed at the link below.

www.dohc.ie/publications/portlaoise_perinatal_deaths.html