{"id":547,"date":"2013-04-15T10:36:09","date_gmt":"2013-04-15T10:36:09","guid":{"rendered":"https:\/\/www.oco.ie\/?post_type=library&#038;p=547"},"modified":"2018-01-09T12:22:30","modified_gmt":"2018-01-09T12:22:30","slug":"investigation-regarding-hse-decision-funding-assistance-treatment-abroad","status":"publish","type":"library","link":"https:\/\/www.oco.ie\/ga\/library\/investigation-regarding-hse-decision-funding-assistance-treatment-abroad\/","title":{"rendered":"An investigation regarding a HSE decision on funding for assistance for treatment abroad"},"content":{"rendered":"<p>In April 2011 a complaint was submitted to the Ombudsman for Children\u2019s Office by the parents on behalf of the child aged 7 years. The child concerned was born with limb abnormalities affecting his right leg and his arms. The child does not have a left arm<\/p>\n<p>and has abnormalities of his right arm together with a condition whereby the femur on his right leg does not grow on its own. The problem which is currently being addressed for him through treatment in the US involves his right lower limb. He has an absence of the upper end of his right femur including the hip joint and his leg is very short. He needs extensive\u00a0reconstructive surgery to his right hip and leg. The parents explained that as their son\u2019s right\u00a0leg does not grow properly, he requires limb lengthening surgery, which they contend can\u00a0\u00a0only be performed in the United States of America.<\/p>\n<p>The parents advised that their son received two such operations in the US in 2006 and\u00a02009 and funding for 70% of the costs associated with the operations and the trip to the USA were provided by the Health Service Executive (HSE) under its Treatment Abroad Scheme (TAS). The cost of the operations is paid by the parent\u2019s private health insurer and currently the cost of physical therapy is also covered by the insurer.<\/p>\n<p>The parents state that their consultant orthopaedic surgeon advised them that their son\u00a0had no hip and spoke about amputation for him. The parents advise that because the child\u00a0does not have a left arm a prosthetic limb would be difficult for him to manage.\u00a0The consultant encouraged the parents to complete their own research in limb lengthening for him. The parents met and contacted doctors in Dublin, Cork, Belfast, the UK, France,\u00a0Germany, Russia and America. They were seeking physicians who would be experienced\u00a0enough to undertake leg lengthening for their son. On completion of their research they\u00a0discovered two doctors one in Baltimore, Maryland, USA and another doctor in Russia.<\/p>\n<p>Having carried out a preliminary examination into this complaint,\u00a0a decision was made in July 2011 to proceed with an investigation. The investigation focused on the administrative actions of the HSE in regard\u00a0to the administration of this child\u2019s application for funding made under the Treatment Abroad Scheme.<\/p>\n","protected":false},"author":1,"featured_media":565,"template":"","class_list":["post-547","library","type-library","status-publish","has-post-thumbnail","hentry","resource_type-investigation","resource_topic-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>An investigation regarding a HSE decision on funding for assistance for treatment abroad - Ombudsman for Children<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.oco.ie\/ga\/library\/investigation-regarding-hse-decision-funding-assistance-treatment-abroad\/\" \/>\n<meta property=\"og:locale\" content=\"ga_IE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"An investigation regarding a HSE decision on funding for assistance for treatment abroad - Ombudsman for Children\" \/>\n<meta property=\"og:description\" content=\"In April 2011 a complaint was submitted to the Ombudsman for Children\u2019s Office by the parents on behalf of the child aged 7 years. 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Rugadh an leanbh a bh\u00ed i gceist le m\u00ednormalachta\u00ed g\u00e9ige a ghoill ar a chos dheas agus a sciath\u00e1in. N\u00edl sciath\u00e1n cl\u00e9 ag an leanbh agus t\u00e1 m\u00ednormalachta\u00ed ar a sciath\u00e1n deas, agus t\u00e1 riocht air nach bhf\u00e1sann an f\u00e9imear ar a chos dheas leis f\u00e9in. Baineann an fhadhb a bhfuiltear ag dul i ngleic l\u00e9i faoi l\u00e1thair d\u00f3 tr\u00ed ch\u00f3ire\u00e1il sna St\u00e1it Aontaithe lena gh\u00e9ag dheas \u00edochtarach. N\u00edl bun uachtarach a fh\u00e9imir dheis, alt a chrom\u00e1in aige agus t\u00e1 a chos an-ghearr. Teasta\u00edonn m\u00e1inliacht fhairsing athchruthaitheach uaidh ar a chrom\u00e1n agus a chos dheas. Mh\u00ednigh na tuismitheoir\u00ed, i ngeall nach bhf\u00e1sann cos dheas a mhic i gceart, is g\u00e1 m\u00e1inliacht a dh\u00e9anamh air chun a chos a sh\u00edneadh, agus deir siad nach f\u00e9idir tabhairt faoi seo ach i St\u00e1it Aontaithe Mheirice\u00e1.\r\n\r\nThug na tuismitheoir\u00ed le fios go ndearnadh dh\u00e1 cheann de na hobr\u00e1id\u00ed si\u00fad ar a mac i SAM in 2006 agus 2009 agus shol\u00e1thair Feidhmeannacht na Seirbh\u00edse Sl\u00e1inte (FSS) cisti\u00fa le haghaidh 70% de na costais a bhain leis na hobr\u00e1id\u00ed agus an turas chuig SAM faoina Sc\u00e9im C\u00f3ire\u00e1la Thar Lear (SCTL). \u00cdocann \u00e1rach\u00f3ir pr\u00edobh\u00e1ideach sl\u00e1inte an tuismitheora as costas na n-obr\u00e1id\u00ed agus \u00edocann an t-\u00e1rach\u00f3ir as costas na teiripe fisic\u00ed, chomh maith, faoi l\u00e1thair.\r\n\r\nLuaigh na tuismitheoir\u00ed gur chuir a m\u00e1inlia ortaip\u00e9ideach comhairleach ar an eolas iad nach raibh aon chrom\u00e1n ag a mac agus luaigh s\u00e9 teascadh a dh\u00e9anamh air. Cheap na tuismitheoir\u00ed, mar gheall nach bhfuil sciath\u00e1n cl\u00e9 ag an leanbh, ba dheacair air g\u00e9ag phr\u00f3ist\u00e9iteach a fheidhmi\u00fa. Spreag an comhairleach na tuismitheoir\u00ed chun a dtaighde f\u00e9in a dh\u00e9anamh ar fhad\u00fa g\u00e9ige a dh\u00e9anamh air. Chas agus rinne tuismitheoir\u00ed teagmh\u00e1il le docht\u00fair\u00ed i mBaile \u00c1tha Cliath, Corcaigh, B\u00e9al Feirste, an R\u00edocht Aontaithe, an Fhrainc, an Ghearm\u00e1in, an R\u00fais agus Meirice\u00e1. Bh\u00ed lianna \u00e1 lorg acu a mbeadh d\u00f3thain taith\u00ed acu chun tabhairt faoi fhad\u00fa coise d\u00e1 mac. Nuair a chr\u00edochnaigh siad a gcuid taighde, th\u00e1inig siad ar bheirt docht\u00fair\u00ed, duine amh\u00e1in d\u00edobh in Baltimore, Maryland, SAM agus docht\u00fair eile sa R\u00fais.\r\n\r\nI ndiaidh tabhairt faoi r\u00e9amhscr\u00fad\u00fa ar an ngear\u00e1n seo, rinneadh cinneadh in I\u00fail 2011 chun lean\u00faint ar aghaidh le himscr\u00fad\u00fa. Dh\u00edrigh an t-imscr\u00fad\u00fa ar ghn\u00edomhartha riarach\u00e1in FSS i\r\ndtaca le riar iarratas an linbh seo ar chisti\u00fa a rinneadh faoin Sc\u00e9im C\u00f3ire\u00e1la Thar Lear."],"irishSecondaryTitle":[""],"_sbi_oembed_done_checking":["1"],"_wpml_word_count":["397"],"_uag_page_assets":["a:9:{s:3:\"css\";s:0:\"\";s:2:\"js\";s:0:\"\";s:18:\"current_block_list\";a:0:{}s:8:\"uag_flag\";b:0;s:11:\"uag_version\";s:10:\"1788219718\";s:6:\"gfonts\";a:0:{}s:10:\"gfonts_url\";s:0:\"\";s:12:\"gfonts_files\";a:0:{}s:14:\"uag_faq_layout\";b:0;}"]},"uagb_featured_image_src":{"full":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",649,841,false],"thumbnail":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad-e1507557755525-150x150.png",150,150,true],"medium":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad-232x300.png",232,300,true],"medium_large":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",649,841,false],"large":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",649,841,false],"1536x1536":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",649,841,false],"2048x2048":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",649,841,false],"post-thumbnail":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad-150x150.png",150,150,true],"size_150x150":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad-150x150.png",150,150,true],"gform-image-choice-sm":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",232,300,false],"gform-image-choice-md":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",309,400,false],"gform-image-choice-lg":["https:\/\/www.oco.ie\/app\/uploads\/2013\/04\/An-investigation-regarding-a-HSE-decision-on-funding-for-assistance-for-treatment-abroad.png",463,600,false]},"uagb_author_info":{"display_name":"fusio","author_link":"https:\/\/www.oco.ie\/ga\/news\/author\/fusio\/"},"uagb_comment_info":0,"uagb_excerpt":"In April 2011 a complaint was submitted to the Ombudsman for Children\u2019s Office by the parents on behalf of the child aged 7 years. 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