Progress Reports arising from the HIQA review of the care received by Rebecca O'Malley

The Health Service Executive (HSE) publishes quarterly progress reports on the implementation plan for recommendations of the investigation by the Health Information and Quality Authority (HIQA) into the circumstances surrounding the provision of care to Rebecca O’Malley, in relation to her symptomatic breast disease, the Pathology Services at Cork University Hospital and Symptomatic Breast Disease Services at the Mid Western Regional Hospital, Limerick.

The HSE is dedicated to delivering a health service where everyone has easy access to high quality care that they can have confidence in and that staff are proud to provide.    We would like to reiterate our apology to Rebecca O’Malley and her family for their experience of care.  As is evident from this first progress report, the concerns Rebecca O’Malley voiced and subsequent investigation by HIQA is helping to drive quality improvement for the benefit of other patients and families who use our services.  These improvements will ensure that patients and their families feel safe in our care and are confident that the service they receive will offer them the best possible outcome. 

Triple assessment, which is the subject of the ninth recommendation, is a key quality assurance measure for women presenting to services with breast symptoms.  The clinical, radiological and pathological components of triple assessment are in place in all designated breast centres.  Staff recruitment in Limerick and Waterford will ensure that in addition to providing all three components of triple assessment, which is already the case, these components will take place in “one-stop” at first assessment rather than in a staged approach to further improve the experience for women who use these centres.