According to an internal inspection, undertaken by HSE auditors, on emergency, elective and day procedures at Tipperary University Hospital (TUH); a listing used to ensure HSE safe surgery is being followed, was not located in healthcare records. The failure was discovered following a random sample, taken of 15 patients, latter who had undergone surgical procedures at TUH, Clonmel, Co Tipperary, just last year.
The HSE audit report revealed that it could only provide limited assurance regarding the adequacy and effective governance relating to risk management and the internal control system, at the hospital, when it came to HSE strict policy on safe surgery.
HSE auditors had carried out a retrospective random sample on healthcare records of 15 patients out of a total of 96. Same had undergone surgery or an endoscopy at TUH, over a seven-day period in July 2024. Same audit was undertaken to check that planned surgery was clearly documented and that consent was obtained and recorded for each surgical procedure.
While, TUH had amalgamated aspects of the required checklist into its care plans, latter recommended in the HSE’s National Policy and Procedure for Safe Surgery; the audit found that the HSE’s actual checklist was not found in any medical records reviewed, in relation to the auditors random sample of 15 procedures which had been carried out on site within the hospital.
The report stated that there was a risk that variances between the hospital’s care plans and the official checklist “may result in sub-optimal implementation” of the HSE’s policy on safe surgery “with potential adverse consequences for patients.“
Among questions on the checklist which were not included in the HSE’s recommended care plan were: (A) If the procedure had been confirmed with a parent or guardian in the case of children and if prophylactic antibiotics were required. (B) Failure to check if a healthcare record number matched the number on the patient’s wristband or if protocols were in place if the patient suffered unexpected blood loss. (C) TUH included some questions that were completed after an anaesthetic was administered, which should have been carried out beforehand under the rules as set out in the HSE checklist. (D)TUH was unable to provide records about the number of medical staff who had completed a mandatory course on safe surgery.
The audit further concluded that recommended pre-surgery briefings among medical staff at TUH Clonmel, resembled “nursing huddles” as opposed to multidisciplinary briefings, of which not all members of the theatre team were found to be present at such meetings. The report also noted that non-attendance of key members could result in critical information not being properly transferred, thus resulting in potential harm to patients.
The HSE auditors issued a total of four recommendations, including that all components of the HSE’s checklist for safe surgery be incorporated into the relevant care plans at TUH, or, alternatively that the checklist be adopted as a standalone document by the hospital.
TUH management have now agreed to the implementation of all the recommendations conveyed by the HSE audit.
Mr McGrath passed away peacefully at his place of ordinary residence.
His passing is most deeply regretted, sadly missed and lovingly remembered by his sorrowing family; loving wife Breeda, sons J.R. and Tom, daughters Heather and Patrique, their partners Kathleen, Ali (Akmese) and Ryan (Biggs), grandchildren Alexander, Edward, Oscar, Heather, Katie, Kyle, Samuel and Sara, sisters Mary (O’Dwyer), Betty (McGrath), Theresa (King), Sheila (Doheny) and Angela (Doheny), brothers-in-law, extended relatives neighbours and many friends.
The extended McGrath family wish to express their appreciation for your understanding at this difficult time, and have made arrangements for those persons wishing to send messages of condolence, to use the link shown HERE.
A new chapter for over 7,500 people who will be granted Irish Citizenship at the INEC Arena, Killarney, Co. Kerry.
Today and tomorrow over 7,500 people will be granted Irish citizenship at the INEC Killarney. Applicants from over 143 countries and across all 32 counties on the island will make a declaration of fidelity and loyalty to the State and become Irish citizens.
Over seven ceremonies held over two days, Minister for Justice, Home Affairs and Migration, MrJim O’Callaghan will be joined by Minister of State with responsibility for Migration, Mr Colm Brophy, and Minister of State with responsibility for International Law, Law Reform and Youth Justice, Mr Niall Collins.
Speaking ahead of the ceremonies, Minister O’Callaghan said: “This ceremony marks an important milestone in the lives of those receiving Irish citizenship. For each new citizen it signifies a deep connection to Ireland, its values, and its people. Ireland welcomes our new citizens as full members of society, and their contributions will undoubtedly strengthen the fabric of our nation. I encourage all new citizens to continue to actively engage in their communities so that, together, we can build a thriving society”.
Minister Brophy said: “I congratulate our newest citizens and wish each of them well as they begin this new part of their lives. Migration plays an essential role in Ireland’s development. It strengthens our economy, enriches our cultural diversity, and deepens our sense of solidarity. We are proud to welcome each new citizen as valued members of our communities.”
Minister Collins said: “Those becoming Irish citizens over the next two days are joining a diverse and inclusive Ireland. Citizenship is not only a right but a symbol of shared responsibility and mutual trust. These new citizens now have a place in shaping the future of Ireland. I sincerely congratulate each of our new Irish citizens. This is a proud and memorable day for them, their families, and for the whole country.”
The Presiding Officer at the ceremonies over the next two days is Judge Mr Paddy McMahon, who will confer the attendees with Irish Citizenship. He will administer the Declaration of Fidelity to the Irish Nation and Loyalty to the State. The new Irish citizens will undertake to faithfully observe the laws of the State and to respect its democratic values.
In just over two years the Citizenship Division of the Department has gone from processing around 12,000 applications a year to processing over 20,000 applications in 2023, and nearly 31,000 in 2024.
Significant changes have been introduced in the Citizenship Division of the Department of Justice, Home Affairs and Migration to speed up the application process for applicants, including the introduction of an online digital application, online payments, and eVetting. As a result, processing times are now decreasing year on year. The length of time it takes to process an application has dropped from 15 months in 2023 to 8 months in 2024.
It is expected that going forward, the vast majority of applicants will continue to receive a decision within one year, however, it is important to note that no two naturalisation applications are the same and some take longer than others to process.
Thurles Planning Alert from Tipperary County Council.
Application Ref: 2560541. Applicant: Kathleen & Michael O’Connell. Development Address:‘Ashlea’, Slievenamon Road, Thurles, Co. Tipperary. Development Description: Change of use from commercial to residential use with minor internal works together with all associated site works at ‘Ashlea’, which is a protected structure (TRPS2518). Status: N/A. Application Received: 12/06/2025. Decision Date: N/A. Further Details: http://www.eplanning.ie/TipperaryCC/AppFileRefDetails/2560541/0.
“Long time no see, Mikey”, said I, “Where have you been hiding yourself for the last three months?” I had just entered the Arch Bar in Liberty Square, Thurles, to find my friend, Mikey Ryan, sitting in his brown stained overcoat, with both elbows stretched along the counter top; his two hands cupping a pint glass of Guinness.
“Herself had me confined to barracks since I lost me job”, replied Mikey. “I wonder, do you think Tánaiste Simon Harris has ever tried to keep a fractiouswife and 5 kids on €244.00 a week?
“A very good question,” said I.
“Anyway, I suppose you are still continuing to verbally abuse the Thurles Municipal District (TMD) council officials”, said Mikey, “but now that I see you in person, let me correct you on some of your complaints. You do a lot of giving out about crooked traffic signs and posts; narrow streets; blaming HGV for breaking railings; excessive potholes on our streets and poor planning. Tell me now, are you aware of the complex concept of global warming?
Hoping to bring a smile to Mikey’s downcast face, I stated, “I’m not a great believer in global warming but I think I’m warming up to that theory; but then again, I myself don’t have a carbon footprint, since I drive everywhere”.
Mikey was having none of it. “Welldo you realise that everything you are foolishly and tediously prating about, are forcing TMD officials, to leave the sanctity of their normally irreproachable office desks, to follow up, in silence i might add, the queries raised by you? Mikey replied. “To my mind everything you prattle on about is caused simply by global warming. Irish temperatures have risen by 2° Celsius, causing metal posts, their attached warning signs; traffic indicatorsand Redipave traffic island bollards, to simply melt and vanish without trace. There is nothing our TMD administrators can do, so we better learn to live with it”, he further added.
A silent, but knowing sideways glance and a quick side to side head shake from the proprietor Pat Hayes, was enough for me to attempt to change the course of the present conversation.
“So, what has you in here so early this evening Mikey”, said I.
“Strictly between ourselves”, said Mikey, “I got this pressing call to attend at “The Brothers” this morning from the Principal’s clerk. After escorting the young lad to his class, I was to learn that one of the teachers, affectionally known as “Mr Killer“, (a known psychopath my son would later inform me), had posedwhat he called a ‘straightforward challenge’to my young lads english class. Said he, “Can anyone give me a rhyming sentence or two, containing the word ‘pistol’?”.
“That young lad of the Brown’s, Jimmy I think his name is,” continued Mikey, “He is supposedly a bright buck; sure you see him scurrying around most days with his index finger stuck up his nostrils, picking his nose. Well Jimmy quickly raised a hand and declared “My daddy is a soldier. He has a suit of blue. He has a sword and bayonet, and he has a pistol too.” “Having thanked the young lad for his quick reply; Mr Killer (or whatever his name is), was about to move on, when my second eldest intervened”. Mikey queried with a proud knowing nod of his head, “Sure you must remember our Cristiano, he takes after myself.Didn’t he quickly chime in “Sir, my father isn’t a soldier. He doesn’t have a suit of blue. He draws his dole at half-past nine, then he’s on the piss ’till two!”. “I tell you this my man”, said Mikey, “The disparaging remarks made by that School Principal, regarding my failures as a parent, fairly hit below the belt. Truth is, had I known I was going to be so verbally abused this morning; and had I been still in full employment, I’d have taken the day off.”
“Right so”, said I, anxious at this stage to make a hasty exit “I’m in a hurry this evening Mikey. Got a visitor calling to the house. Sure we will, no doubt, talk later.Give us a 6 pack of Guinness Pat and I’ll be off home.”
“Certainly”, said Pat, “And then I’m heading to lie down in a darkened room, as soon as my barman comes back.”
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