Two things about our health service should worry every patient and every family in this country.
First, a HSE internal audit reported in today's Irish Independent found doctors working in our hospitals without garda vetting or overseas police clearance. Of 40 non-EU doctors checked across seven hospitals, six had no record of garda vetting. Overseas police clearance was missing or not up to standard in 11 cases. Only 27 had evidence of English-language competency. Just two of the seven hospitals were fully compliant.
Second, if you ask how many allegations of sexual abuse and sexual harassment have been made against people working in our health service in the last five years, nobody seems to know. There is no single HSE figure. Cases are dealt with one at a time, spread across regions and services, and the full picture is never put in front of the public.
Both point to the same problem. Basic safeguards are not being applied consistently, and when things go wrong the HSE does not keep proper track of it. We have already seen vulnerable people in disability services and nursing homes failed while warning signs were handled in isolation.
Every volunteer coaching an under-10s team has to be vetted. Patients are entitled to the same assurance from the people caring for them.
The vast majority of doctors, nurses and staff in our health service are decent and dedicated, including the many overseas doctors we badly need. They deserve a system that does its job properly. So do the patients who trust it.
You cannot fix what you refuse to check and refuse to count. I will be pushing for full transparency on both.