81. Deputy Martin Daly asked the Minister for Health the reason the recommendations of the Walker report have not been implemented; the current status of their implementation; and if she will make a statement on the matter. [52819/25]

Sentiment score: 0.01

I acknowledge the Minister's bona fides in the matter of the maternity unit in Portiuncula hospital. She has acted at all times on advice in what she felt is the best interest of the safety of mothers and babies in the region. However, I want to ask her why the Walker report of 2018 was not implemented and if she will make a statement on the matter.

Sentiment score: 0.33

I acknowledge the mothers and babies who have experienced, at birth, sometimes catastrophic events. It is a small number of women but that makes it no less. I worked with the Minister on Portiuncula maternity unit on the premise that the Walker report had been delivered, but it manifestly has not been delivered. I do not believe the HIQA report. Last week, at the health committee, the CEO of the HSE, Mr. Bernard Gloster, said that the Walker report had not been fully implemented. That is the reality because all of the same issues that arose in 2018 have arisen in 2025. Professor Sam Coulter-Smith identified that in his report and he has couched it in language that is not obvious, but it is clear what he is saying and it is nuanced. All the same issues with governance, training and human resources exist. We have a unit that was essentially set up to function at risk. On the idea of one hospital, two sites, I do not agree that it was not working. Who made the decision that it was not working? Many issues seem to have arisen from the time it stopped.

Sentiment score: -0.09

We are not in a good space because the maternity unit in Portiuncula hospital is in trouble. For example, it was recommended by the Walker report that there be seven consultant obstetricians. It never happened. There were five at the most: three full-time, one on managed leave and one on managed sick leave. There was never a full complement. Someone second-guessed the Walker report, so it was never implemented. Regarding infrastructure, the recommendation of a theatre in the labour ward did not happen. Who walked back the idea of one hospital, two sites, and why? I want to know why. Does the Minister have confidence in the clinical director regionally and the associate clinical director who was recently appointed? Are they the people who brought us to this juncture? Does the Minister have confidence that they will deliver us from it? I was at a meeting with GPs last night with the clinical team. All I am seeing is confusion and shambles. One of the clinical directors said there was no evidence base for moving older women and women who were high-risk from Portiuncula hospital. They decided not to move people with diabetes at the last moment. They also decided that GPs would not risk stratify. They do not know what is going on. There is no clinical leadership and I want the Minister to make a statement on that.

Sentiment score: -0.03