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Dublin: 9 °C Saturday 18 May, 2013

State to cover removal costs after clinic criticised over PIP breast implants

The Department of Health has said it does not believe the Harley Medical Group will fulfil its obligations in an acceptable manner and so care will be provided by the State.

A woman whose PiP impants ruptured shows the removed implants.
A woman whose PiP impants ruptured shows the removed implants.
Image: Andrew Milligan/PA Wire/Press Association Images

IRELAND’S CHIEF MEDICAL Officer has strongly criticised a cosmetic surgery clinic for failing to provide an appropriate care package for clients affected by the PIP breast implants issue.

In a statement issued this afternoon, the Department of Health said it is not satisfied that the Dublin-based Harley Medical Group will fulfil its obligations to patients in an acceptable manner.

As a result, Dr Tony Holohan’s office is arranging for the care required by the recipients of the defective implants to be made available via an alternative route. Services, including surgical consultation, radiology (if required) and removal of implants (if deemed clinically necessary) will be sourced via the National Treatment Purchase Fund.

The NTPF will make suitable arrangements with appropriate facilities to provide such consultation and follow-on support as required.

Holohan said the move comes despite “intensive efforts” and “clear pressure” to ensure the appropriate care was forthcoming from the surgery. In May, he announced that the three clinics, which used the faulty silicone implants, would cover the cost of surgery to remove the implants from the more than 1,500 women affected in Ireland. While two of the clinics provided satisfactory packages, the Harley Medical Clinic did not.

The CMO met with members of the PIP Action Group yesterday to advise them of the proposed initiative and another meeting has been scheduled for September, when there will be a clearer view of the resources required for the services.

The PIP breast implant scandal came to light in March 2010 when the French medical device regulatory authority suspended the manufacturing and distribution of the Poly Implant Prostheses (PIP) products. The agency had discovered that unauthorised, industrial-quality silicone gel had been used instead of medical-grade substances.

There had been an increased number of incidents reported about the devices rupturing or leaking – 138 in total in Ireland. Three clinics in Ireland – the Harley Medical Clinic in Dublin, Clane General Hospital in Kildare and Shandon Street Hospital in Cork – had implanted the devices into some 1,500 patients between 2001 and 2010. In November 2010, the Irish Medicines Board instructed those clinics to identify and contact women who had received PIP implants to advise them of the issue.

The advice from the IMB and the Department of Health continues to be that there is no evidence of increased risk of cancer for women with this brand of implant, the risk of rupture is low and anyone with a concern about their breast implants should discuss the matter with their GP or surgeon.

The CMO has noted, however, that he – in conjunction with the Irish Association of Plastic Surgeons – has issued updated guidelines for those considering cosmetic surgery.

More: Medicines board critical of Irish plastic surgery clinic over breast implant scare>

Read more about the PIP breast implants controversy>

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Comments (24 Comments)

  • I am curious as to whether the company who made these implants are going to be sued by the individuals who got their breasts enlarged ,even if it is a class action .If this is the case will they reimburse the dept of health for the cost of removing /replacing these augmentations, and will other people’s surgeries be knocked back (yet again) to facilitate these procedures. I am not arguing thery should not be helped , but surely not at the cost of others who will need help too.

    Reply
    • Well then if you drink yourself to liver failure, require a liver transplant and months of rehab that go with it you should repay the money to the state because it was a personal choice to drink heavily. Or if you smoke, get cancer, have surgery, maybe chemotherapy, should you also pay the state back the money as it was your personal choice to smoke. Or does the state and its citizens show some compassion to another citizen who ended up in an unfortunate position regardless of the reason they ended up in it? I think the attitude of ‘why should we’ because it was for cosmetic reasons is wrong and not relevant. Kinda makes me sad.

      Reply
    • mattoid 04/07/12 #

      I think you missed Eileen’s point Eimear. If the patients subsequently receive a large wad of compensation from the clinic’s / implant manufacturer’s insurers shouldn’t the state (the taxpayer) be reimbursed for the cost of syepping in to remove the implants?

      Reply
    • @Mattoid, i don’t think they would want me … I have my own opinions, and they wouldn’t be able to keep my quiet :D

      Reply
    • I probably did slightly misinterpret Eileen’s comment @mattoid but by the time i read it i was already peeved at all the negative comments implying that these women shouldnt be helped because it may have been cosmetic surgery in some cases and wanted a little rant!! I do think though that Eileen’s comment ‘other people surgeries be knocked back’ suggests that the ‘other people’ are more worthy of receiving intervention because of the ‘non cosmetic’ nature of their illness. If these women are compensated and money for surgery returned to the state then for example someone who slips in dunnes store, breaks a leg, has sugery as a result, sues Dunnes and receives compensation should they also repay state? Or am i way off the mark?!

      Reply
  • This is a failure on the part of a private foreign company…why are my taxes covering this? Not to mention that breast augmentation surgery for the most part is elective……why am I footing the bill for another persons vanity?

    Reply
    • Whatever the motivation for getting breast implants, there is a health risk to citizens of this country. We have a social contract that says we, via the mechanisms of the state, provide for the healthcare of our citizens as a right, and not a privilege.

      We pay for the health of smokers, we pay for the health of drinkers, we pay for the health of those that take no care of their bodies in general. I see no difference here.

      The above, in my option, is valid without even getting into the fact that:
      - Much of breast reconstruction is post-operative care for breast cancer survivors
      - There is genuine documented anxiety in women about their body shapes (not unrelated in my opinion to the various eating disorders)

      When the state starts charging tobacco companies, and alcohol companies and fast food companies a special super corporation tax for the damage their products do to us, then we can get on our high horse about the suppliers. Until then, we have a duty to ensure the health of our citizens.

      Reply
    • b flynn 04/07/12 #

      No you are not paying for another’s vanity. If the private clinics/hospitals were regulated the government would have the authority to shut them down. Putting pressure on the Gov. to introduce legislation ASAP will protect millions who every day use private facilities for healthcare services in general

      Reply
  • One question on this ….
    A French firm caused this issue, and the Irish Government are more than happy to pay for the results and costs associated with the clean up….

    An Irish Bank screws up, impacts German/British/French bondholders, and successive Irish Government weigh in and says they will pay the non-Irish bond-holders…… Like come on…..

    Hello, is there anybody listening or watching whats going on?

    Reply
  • Next time these women want breast implants, they should look to the Irish electorate. They’re great at replacing a pair of tits with an even bigger pair.

    Reply
  • so our taxs are covering the cost of cosmetic surgery!! what a croc of crap.
    fair enough if it had been medically necessary Like a hip replacement etc rather than a vain boob job. ( yes there might be some valid reasons for the op ,but not all )

    Reply
    • I dunno if one reason is more ‘valid’ than another since that’s a matter of opinion. Is there any circumstance where anyone truly needs implants? Most people would have more sympathy for a breast cancer sufferer than someone who just wants to look better on the beach, but that doesn’t make it a need as such

      What I am sure about is that once again we’re footing the bill for a private f*ck up and that te Harley Medical Group aren’t exactly stuck for a few quid. They were paid for these procedures, right? I hope they will be forced to reimburse us for every penny this is costing us.

      And are they fit and proper people to hold a medical licence if they take the money and run??

      Reply
    • mattoid 04/07/12 #

      Good point Chuck – I have been thinking the same thing…nSurely clinics have to be licenced by the state, and couldn’t the state just revoke the licence of this particular clinic until it steps up to the plate and accepts responsibility towards its patients?

      Reply
  • Yep, the state will pay for clinics that facilitate this kind of behaviour.
    But if you were left damaged by going into a state hospital to give birth, they will fight to the bitter end and make your life a misery.
    The Irish medical boards has as much morals as the state that protects them!

    Reply
    • mattoid 04/07/12 #

      You may not believe it Michelle, but almost all foreign jurisdictions acknowledge that cerebral palsy is a natural occurrence that is always going to affect a certain percentage of pregnancies and deliveries, despite the best efforts and interventions of the medical profession. They accept that just because a child is born with CP it does NOT necessarily mean that there was any negligence on the part of the medical team involved, and it is consequently much harder to sue for compensation. The Irish courts system is actually a very soft touch in this regard!

      Reply
  • Another bill for the tax payer its no wonder we have to have new taxes brought in every other day why do the government let loose the bull Hogan to go after the medical people that supplied and fitted the implants, no they will not as it would not be an easy one to get them to pay up. instead they tax anything and everything in the country and bully the people of the state with property tax etc. and jail if you do not pay, .The cowards of leinster house have once more showed their true colours. We all can see the way the laws are applied in the country one with the whip and one with the silver spoon, I wonder if any of the ministers have shares in the medical companies involved.

    Reply
  • I support this decision. The women were unfortunately injured and should be helped by all of us.

    Reply
  • I do not even know where I am a casualty after been left deformed by a surgeon in Brussels

    Reply

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