Ken O'Flynn

1199. Deputy Ken O'Flynn asked the Minister for Health in the absence of a national data system, what mechanisms are used to track clinical outcomes, complications, or patient follow-up in respect of minors referred for gender-related healthcare. [33140/26]

1200. Deputy Ken O'Flynn asked the Minister for Health to identify the individual office or role within the HSE or Department that holds ultimate accountability for clinical governance decisions affecting minors in gender-related care pathways pending the finalisation of the national Model of Care. [33141/26]

1201. Deputy Ken O'Flynn asked the Minister for Health whether any formal risk assessment has been conducted regarding the continuation of gender-related referral pathways for minors in the absence of national audit systems, outcome tracking, or a completed Model of Care. [33142/26]

1202. Deputy Ken O'Flynn asked the Minister for Health the expected publication date of the HSE expert group report examining the implications of the final Cass Review; whether it will be published in full; and whether it will include recommendations for immediate changes to clinical practice. [33143/26]

1206. Deputy Ken O'Flynn asked the Minister for Health to specify which named office or individual currently holds ultimate clinical and governance accountability for gender-related assessment and referral pathways for minors in the absence of a completed national Model of Care. [33179/26]

1207. Deputy Ken O'Flynn asked the Minister for Health the way in which clinical risk, patient safety, and service effectiveness are monitored in respect of gender-related healthcare pathways for minors in circumstances where no structured national data collection system is currently in place. [33180/26]

1208. Deputy Ken O'Flynn asked the Minister for Health the reason no national audit or independent review has been conducted since 2020 into gender-related assessment and referral pathways for minors. [33181/26]

1209. Deputy Ken O'Flynn asked the Minister for Health to identify the specific clinical guidelines currently in active use by clinicians in Ireland for the assessment and referral of minors presenting with gender-related distress, pending completion of the national Model of Care. [33182/26]

1210. Deputy Ken O'Flynn asked the Minister for Health to outline the interim safeguards in place to ensure consistency, evidence-based practice, and protection of minors in the absence of a completed national Model of Care and national audit framework. [33183/26]

1211. Deputy Ken O'Flynn asked the Minister for Health to specify which office, official, or body currently holds ultimate policy and governance responsibility at national level for gender-related assessment and referral pathways for minors; and the statutory or administrative basis on which that responsibility is exercised. [33185/26]

1212. Deputy Ken O'Flynn asked the Minister for Health whether any formal risk assessment has been conducted by her Department or the HSE regarding the operation of gender-related clinical pathways for minors in the absence of a completed national model of care; and if so, to provide the date, scope, and key findings of that assessment. [33186/26]

1213. Deputy Ken O'Flynn asked the Minister for Health to confirm whether any formal interim governance framework, directive, or protocol has been issued to clinicians governing gender-related assessment and referral of minors pending completion of the national model of care; and to provide details of same. [33187/26]

1214. Deputy Ken O'Flynn asked the Minister for Health to detail what national oversight mechanisms are currently in place within her Department to monitor clinical decision-making, patient outcomes, and safeguarding compliance in respect of minors referred for gender-related healthcare. [33188/26]

1215. Deputy Ken O'Flynn asked the Minister for Health whether any requirement exists at national level for the recording or reporting of clinical outcomes, adverse events, or complications arising from gender-related assessment or referral pathways for minors; and if not, whether such a requirement is under consideration. [33189/26]

1216. Deputy Ken O'Flynn asked the Minister for Health to set out whether her Department has issued any direction, guidance, or policy requirement to the HSE in respect of the collection of national data on referrals, assessments, outcomes, and costs associated with gender-related healthcare pathways for minors; and the current status of any such initiative.; and if she will make a statement on the matter. [33190/26]

1217. Deputy Ken O'Flynn asked the Minister for Health to confirm whether any legal or policy framework currently governs consent, capacity assessment, and parental involvement in decisions relating to gender-related assessment and referral pathways for minors at national level; and to specify the source of such framework. [33191/26]

1218. Deputy Ken O'Flynn asked the Minister for Health whether any review has been undertaken by her Department into the adequacy of existing safeguarding arrangements in respect of minors accessing gender-related healthcare pathways; and if so, to provide the date and outcome of that review. [33192/26]

1219. Deputy Ken O'Flynn asked the Minister for Health to outline what measures are currently in place to ensure consistency of clinical practice across regions in respect of gender-related assessment and referral pathways for minors in the absence of a finalised national model of care. [33193/26]

1220. Deputy Ken O'Flynn asked the Minister for Health to confirm whether her Department has established a timeline, with defined milestones, for the implementation of a national data collection system, audit framework, and governance structure for gender-related healthcare services for minors; and if so, to provide details. [33194/26]

1221. Deputy Ken O'Flynn asked the Minister for Health whether any formal risk assessment was conducted prior to permitting ongoing gender-related assessment and referral pathways for minors in the absence of a completed national model of care, national dataset, or audit framework; and if she will provide details. [33200/26]

1222. Deputy Ken O'Flynn asked the Minister for Health who holds ultimate legal and clinical accountability for decisions made in respect of gender-related assessment and referral of minors in the absence of a designated national governance authority. [33201/26]

1223. Deputy Ken O'Flynn asked the Minister for Health whether she is satisfied that current arrangements meet the State’s obligations in respect of clinical governance, patient safety, and safeguarding, given the absence of national data systems and audit mechanisms. [33202/26]

1224. Deputy Ken O'Flynn asked the Minister for Health whether any adverse event monitoring system exists specifically for gender-related clinical pathways for minors; and if so, to provide details. [33203/26]

1225. Deputy Ken O'Flynn asked the Minister for Health whether any cost tracking mechanism exists for gender-related referrals or treatments involving minors, including under the Treatment Abroad Scheme. [33204/26]

1230. Deputy Ken O'Flynn asked the Minister for Health whether the full target of 960 whole-time equivalent agency staff conversions to direct employment will be achieved; if not, the revised completion date; and the reasons for the shortfall to date. [33237/26]