Tag Archives: Tony O’Brien

Director General of the HSE Tony O’Brien

This morning.

Director General of the HSE Tony O’Brien spoke to Sean O’Rourke on RTE Radio One’s Today with Sean O’Rourke show.

Mr O’Brien’s interview followed the HSE confirming yesterday that some 208 women in Ireland had a false negative smear test before being diagnosed with cervical cancer and 162 of these women – 17 of whom are now dead – were not told of their earlier incorrect test.

The figures emerged after Limerick mum-of-two Vicky Phelan settled her action against a US laboratory, subcontracted by the CervicalCheck to assess the tests, without admission of liability for €2.5million last week.

 

Terminally-ill Ms Phelan was only told last year that a 2011 smear test assessed by the US lab returned a false negative while she was diagnosed with cervical cancer in 2014.

The information about the 208 women only came to light after Ms Phelan refused to sign a confidentiality agreement connected to her court action.

Yesterday, Dr David Gibbons,  a former member of the National Cervical Screen Programme, told RTE’s Jackie Fox, on Morning Ireland, that he had raised concerns about the outsourcing of cervical smear tests to US labs in 2008.

He raised his concerns with Mr O’Brien when he realised that the US lab tests were detecting fewer cases of cervical cancer than the tests done in Ireland. Dr David Gibbons warned there would be problems in ten years’ time.

When nothing changed as a consequence of him raising his concerns, Dr Gibbons resigned.

Mr O’Brien is due to retire this summer.

From this morning’s interview…

Sean O’Rourke: “At any stage over the past week, did you consider standing down sooner?

Tony O’Brien:No.”

O’Rourke: “Despite the fact that, quite clearly, you and the minister Simon Harris are very much at odds, in very serious way.”

O’Brien: “I don’t believe we are. After what seems to be reported in the media, the disagreement between us, we were having a conversation last night which was perfectly normal and didn’t touch on this at all. You know, we’re grown-up guys, we have different roles, I said what I said because it would not have been appropriate for me to publicaly express confidence or otherwise in staff because I am, effectively, their employer. That is not the same…”

O’Rourke: “That’s a bit like sort of, you know, circling the wagons, you know, my people, right or wrong.”

O’Brien: “No, no, if the director general of RTE went out tonight and said she didn’t have confidence in you, you would take great umbrage at that. You would probably find it quite difficult to come in and present your programme tomorrow. You’d have the opportunity to sue RTE for effectively sacking you and for doing so without any process.”

O’Rourke: “Did you…”

O’Brien: “So my role is different.”

O’Rourke: “Did you ask her [CervicalCheck clinical director Grainne Flannelly] not to resign?”

O’Brien:I asked her to consider carefully, in order that I wanted to be sure that she had reflected fully and made the right decision and I spoke to her at some length on Saturday evening, at the point at which she was confirming to me her decision to resign. What I didn’t want her to do was to do something in haste without a period of reflection and I also had a duty of care to make sure that she had access to some appropriate clinical colleagues that could talk to her about her own situation.

Let’s remember all of the women involved in this are human beings, flesh and blood. So too are the staff members and clinicians involved. I take my duty of care to all of them equally seriously. And I think some sections of the media need to think about that too.

Listen back in full here

Previously: HSE Boss ‘Dismissed My Concerns’ About Cervical Screening Results

Mark Stedman/Rollingnews

UPDATE:

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HSE general director Tony O’Brien before the PAC on February 2, 2016

This afternoon.

At 2.30pm.

Officials from the Health Service Executive, including HSE director general Tony O’Brien, will appear before the Public Accounts Committee (PAC) in Committee Room 3.

Ahead of this, one of the ‘Grace’ whistleblowers has written a lengthy piece in The Irish Examiner in which she highlights inconsistencies in public statements made by Mr O’Brien and the HSE about the ‘Grace’ case in relation to:

– The HSE’s three-year delay in seeking clearance from the gardai to publish the Conal Devine report and what prompted it to finally seek that clearance.

– Whether or not people who were involved in the Grace case are still working within the HSE.

– Procurement issues relating to the two reports, Conal Devine report and the Resilience Ireland report, commissioned into the foster home.

– Allegations of a cover-up.

Watch the proceedings from 2.30pm live here

Time for someone in the HSE to learn how to say ‘mea culpa’ (Irish Examiner)

Previously: Still In The System

Related: Member of HSE ‘Grace’ panel continues to work for public service (Paul Cullen, Irish Times)

UPDATE:

UPDATE:

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A letter sent by Mr O’Brien to chair of PAC, Fianna Fail TD Sean Fleming yesterday – correcting what he told PAC on February 2, 2016.

Meanwhile…

1

2

Blimey.

HSE chief Tony O’Brien last year (top) and today (above).

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From top: Director of HSE Tony O’Brien and Fine Gael TD Josepha Madigan, of Dublin Rathdown at the Public Accounts Committee this morning

Director of HSE Tony O’Brien and members of the Department of Health is before the Public Accounts Committee this morning in light of the revelations concerning the former CEO of Console, Paul Kelly.

During this morning’s meeting, Fine Gael TD Josepha Madigan repeatedly asked Mr O’Brien if the HSE took any responsibility for Console’s finances.

She was fairly dogged, in fairness.

From the meeting…

Tony O’Brien: We were not Console’s regulator, we were not its primary funder. We were purchasing a certain range of services from Console which were being received, which continued until yesterday. Which will now continue in another organisation. We have no powers over their fundraising activities or those other extraneous matters.”

Jospeha Madigan: “Just on that point that you say there, Mr O’Brien, and I heard you on Sean O’Rourke (RTE Radio One show)… you also said that you partially funded Console. To me that’s actually missing the point. The main principle still applies, you’re still giving a significant amount of money to this charity so it doesn’t matter whether its partially funded or not. The same principles still apply, the same oversight should apply in relation to that particular charity and I don’t think that’s a good enough response, in my view.”

Later

Madigan: “When you talk about value for money, it seems, putting the services to one side, it seems extraordinary that you say that you’re satisfied in relation to what’s transpired.”

O’Brien: “Well, can I explain why? And it does go back to an earlier point and I know you don’t necessarily agree with where I’m coming from on this. The services are all we paid for. Our engagement with that organisation was…”

Madigan:Are you abdicating all responsibility from oversight of Console?

O’Brien: “What I have said and what I’m saying clearly…”

Madigan: “I’m asking a question…”

O’Brien: “You’re seeking to frame it in a way that I can’t give you a yes or no answer..”

Madigan: “That’s what your implying..”

O’Brien: “What I’m saying..”

Madigan: “That’s what you’re implying…”

O’Brien: “If that was the case why would we have concocted this very extensive internal audit. What I’m saying is we…”

Madigan: “Which should have been done, with respect, many years beforehand, many years beforehand. Do you accept there’s any failings on behalf of the HSE for Console?

O’Brien: “The failings that are in the report on Console, which you’ve had an opportunity to read, are failings within Console. Clearly, at any point in time, with the benefit…”

Madigan: “Do you accept any…”

O’Brien: “Can I answer the question?”

Madigan: “No, because, no because you’re saying the failings are within Console itself. Do you, Mr O’Brien accept that the HSE had a responsibility towards Console? Do you accept any, any responsibility?”

O’Brien: “We had a responsibility to the provide funding in relation to the services they were providing to satisfy ourselves, the quality of those services, and when significant issues of concern…”

Madigan: “But why didn’t you carry out inspections when you could have done that? You..”

O’Brien:It’s very difficult for a witness to answer questions if they only get the first 50% of their answer out.”

Madigan: “Go ahead but…”

O’Brien: “If I could answer the question, it may answer the next question that you’re trying to pose to me. When issues of concern arose about financial governance, the audit was initiated. Prior to that, there had not been unresolved issues which led to that decision. Obviously, officers have to make judgements at all times. With the benefit of hindsight yes, maybe the decision could have been made earlier…”

Madigan: “OK, maybe the decision could have been made earlier. Will you accept the failings on behalf of the HSE in relation to the governance  of Console?

O’Brien: “No, I do not accept. We were not responsible for the governance of Console. Console is a separate legal entity. Our only responsibility can be in relation to the oversight..”

Madigan: “So you’re saying the HSE has absolutely, is absolutely blameless thus far?”

O’Brien: “I didn’t say that.”

Madigan: “But that is what you’re saying, Mr O’Brien.”

O’Brien: “If you were to review the transcript, you will find I didn’t say that.”

Madigan: “I have read your transcript at length..”

O’Brien: “No, no, the transcript of our discussion right now. At no point have I said the HSE is blameless.”

Madigan: “You’re not saying, you know what you’re saying, Mr O’Brien, you’re hiding behind words and you’re very good at it.”

O’Brien: “Can I say something? Chairman…If the PAC were an airline, I’d be in the top tier of the frequent fliers programme, right? So I expect to be in here a lot. As I was with the previous committee. The committee members know what I mean. We have provided all the specific documentation the committee asked us to provide. We’ve come as required, now we’re going to do our best to give you all the information that we can. But sometimes it’s very difficult if I only get the first few words of an answer out..”

 

Watch live here

Previously: Con Sold

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The director general of the HSE Tony O’Brien is appearing this afternoon before the Public Accounts Committee in relation to the abusive foster home in Waterford.

Earlier Fine Gael’s Waterford TD John Deasy repeatedly asked him if people who were involved in the foster home are still working in the HSE.

Mr Deasy also asked him what, if any, disciplinary action has been taken against those people.

Mr O’Brien repeatedly stated that he was hampered in answering questions at PAC because of a request by An Garda Síochána not to go into the detail of two reports on the home.

John Deasy: “Cut to the chase here. Outside of Garda investigations, outside of Commissions of Investigations, there are people still in the system, whom by that I mean the HSE, who have graduated to other organisations dealing with child protection. And their work and their involvement in this, in some cases, goes back to the 1990s. They’re still in the system and they’re still dealing with children, making very serious decisions at a very senior level when it comes to children. What are you doing about that? What are you doing…no, I actually want you to answer this, considering you’re the Director General of the organisation. What are you doing? You must have concerns that if there are people in there who are responsible for this, for the neglect, as you put it, the poor care, the failings, I mean surely the most basic and obvious step would be to have those people step aside until any investigation is concluded. Because the public interest dimension of this now requires, in my opinion, those people to step aside while an investigation is concluded.

“I mean what’s not tolerable, in the public, at this point, is for those people who are responsible for this to continue in their jobs based on the fact that they have still senior positions dealing with child protection in this country. If your organisation doesn’t understand that, you understand nothing. And that’s really, I think, the kernel of this today. And I think that you probably should have addressed it in your opening statement and I’m surprised you didn’t. Before you leave these committee rooms, I think you’re going to have to address that and satisfy the members of this committee that the individuals involved, responsible for this, account for themselves. That’s critical, it’s necessary it’s obvious.”

Tony O’Brien: “In relation to the events of the 1990s, the individuals concerned are no longer in public service. In relation to subsequent events, the Conall Devine Report was commissioned specifically to identify…”

Deasy: “Are you sure not all of them are in public service? Are you absolutely sure about that?

O’Brien: “The three who made the decision that I referred to…”

Deasy: “That’s not what you said, I’m not talking about that specific decision, I’m talking about people in the HSE and the health board who are involved in that foster home, who made decisions around that foster home – they’re still in public service, correct?”

O’Brien: “Let me answer the question.”

Deasy: “No, no, answer that question.”

O’Brien: “If I had been unclear in my first answer, I need to restate it, I hope that you will allow me to do that?”

Deasy: “OK.”

O’Brien:I referred in my first answer, when you asked me what I was apologising for, to a specific decision that was made to leave Grace in that foster home in the 1990s. That was made by a three-person panel, for want of a better word, and those three person are no longer in the public service. So just to be clear about that. The Conall Devine Report was commissioned specifically in order to lay out in full, unvarnished detail who did what and when and would be the basis upon which any action in the disciplinary space would be taken. From the outset of its commencement there was close liaison with An Garda Síochána and it was always understood and intended that the report would be published and available for whatever action may be necessary. However, since its conclusion, in 2012, it has not been possible to use it for that purpose and that is why no disciplinary action has been proceeded with on foot of the Conall Devine Report…”

Deasy: “That’s not sufficient. I understand, this has gone on for 30 years.”

Later

Deasy: “With regard to the reports, what’s curious for people is the invocation of one of the health acts so that the minister and junior minister involved can finally request the reports – finally – after all this time. And it’s curious and problematic for us that, after years, months, of being told there’s no way we can read these reports, they finally have the reports. And all they had to do is read and act and, say, well, the definition of the act does allow us to get these reports. You’ve basically, you’ve got to let me finish. Again, the kernel of this is, and there is the public interest dimension of this, now that you’ve admitted the mistakes and failings and we know the detail involved and the allegations. And we know that the people who are still within the system in many cases, some of them have moved on to other organisations dealing with child protection. The reality is that a Garda investigation, a previous one, collapsed. This may not go anywhere, the second one. And a Commission of Investigation takes time, people retire, they leave the system, the people who are actually charged with making these mistakes, they’ve access to files, emails, they’re in situ, they’re sitting on potentially evidence, and that’s a big issue. If you’re so frustrated legally, if you’re, ‘my god I can’t do anything, these people, they’, you know. Well, have you asked anyone if there needs to be a change of course with regard to your powers internally? I mean if it’s the case that you’re going crazy at not being able to deal with this, and not being actually able to make these people account for themselves, have you just given up and left it at that, is that effectively the answer to the committee here today?”

O’Brien: “No, deputy it’s not….I’m not stonewalling you. I’m prepared to answer any question I can that doesn’t involve me effectively publishing the two reports that An Garda Síochána have asked me not to do. So I want to be clear, that’s the only reason they’re not published.”

Later

Deasy: “Now that you’ve read the reports, Mr O’Brien, do you have any concerns that the people involved making these mistakes – neglect, poor care – that you’ve described yourself in writing to this committee, are still involved in child protection?”

O’Brien: “There are a wide number of people whose actions are detailed in the report, it’s clear from my reading of the report that there were many instances, missed opportunities but not all of the people covered were on, shall we say, the downside of that. I am concerned that there is an ongoing delay to enable us to publish the reports which would enable each of those involved, each of the people implicated as it were, to have an opportunity to answer what it says in the report, so that those do have something to account for, can account for it and that those who are blameless can have their name restored as it were.”

Later

O’Brien: “There were occasions upon which there was information available which, had it been treated differently, would have removed Grace from that situation earlier that she was. And, on the basis of what is alleged to have happened, that she would have therefore been protected from the egregious abuse that is alleged to have occurred.”

Deasy: “These people are still working in the HSE?”

O’Brien: “There are many people who were involved in different ways in those processes. One of the features of this is the disagreements that occurred at different times as to what should have occurred and different people on different sides of those disagreements. Some of those people are still working in either the HSE or Tusla.”

More to follow.

Watch live here

Previously: ‘Poor Quality Of Service’

UPDATE: Other abuse cases ‘may have happened’, O’Brien tells PAC (RTE)

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Director General of the HSE Tony O’Brien

You may recall how the HSE repeatedly told the Public Accounts Committee it had apologised to ‘Grace’ – the mute woman with intellectual disabilities who suffered extreme physical and sexual abuse while she was in a foster care home from 1983 until 2009.

The Irish Examiner, on Monday, January 25, reported that the whistleblowers involved in the case claimed the HSE, in fact, had not apologised to Grace.

On Saturday, January 30, the HSE released a statement admitting no official apology had been given to ‘Grace’ or her mother – or the 46 other people who had contact with the foster home over the years.

Further to this, Fianna Fáil TD and chairman of the Public Accounts Committee, John McGuinness, on Today with Seán O’Rourke, said:

“We got a letter into the Public Accounts Committee, from the HSE, which basically rubbished the report that was written by the Irish Examiner, and referring to the apology as one of ‘for the poor quality of service’. These individuals, allegedly, were raped, abused and treated in the most abominable way and then, after that, we received, the following week, we received, the Public Accounts Committee received a letter from the agency concerned and they said they were being treated as despicable today, their treatment, as it was on day one when they raised this issue. What does that say about the protectors of those who are weakest, the HSE?.”

“Those that discovered this, that were professional enough and brave enough to come forward, did so, the whistleblowers. Unfortunately, the system within the HSE served them very badly and the whistleblower legislation, it would appear, is not worth the paper it’s written on. Because the whistlebowers fear for their professional futures.”

“We want to hear [from HSE director general Tony O’Brien] the full truth, we want to hear him tell us exactly what he knows from beginning to end, as much as he can – because we know there’s a Garda investigation going on. What we don’t want is for them to hide behind that investigation…”

HSE director general Tony O’Brien will appear before the Public Accounts Committee at noon today.

Related: Foster care scandal: The drip-drip of misinformation and mistruth (Irish Examiner)

Previously: No Saving Grace

‘What Was In The Records?’

Mark Stedman/Rollingnews

Pro-Lifers in Ireland are deeply dismayed by the appointment of the former Chief Executive of the Irish Family Planning Association (IFPA) as Director General of Ireland’s Health Service Executive (HSE). The IFPA is an affiliate of International Planned Parenthood Federation IPPF one of the largest abortion providers in the world.
…The Minister in recent weeks has been acting contrary to the pro-life commitments made by his party at the last election. This became evident during the reading of the recently defeated private members bill tabled by Clare Daly when the Minister made it clear that he was in favour of legislation for abortion
…The political message being sent by Minister Reilly in appointing someone as Director General of the HSE who has spent most of his career campaigning for abortion on demand in Ireland is unmistakable.

 

Pro-Lifers In Ireland Dismayed By The Appointment Of Mr Tony O’Brien (Pat Buckley, European Life Network

(Gareth Chaney/Photocall Ireland)