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Crisis pregnancy services will not face charges over abortion advice

The HSE has now clarified what advice should be given around abortion pills.

THERE WILL BE no charges brought against any crisis pregnancy counselling services over alleged malpractice, the HSE has said today.

Gardaí carried out an investigation in a number of services, including the Irish Family Planning Association, following an article in the Irish Independent in October 2012. Investigators furnished a file to the Director of Public Prosecutions which has now decided not to bring the case any further.

It is understood no wrongdoing was found at any of the centres.

A HSE audit of State-funded crisis pregnancy counselling services – including the Irish Family Planning Association, Here2Help, Life Pregnancy Care and the Sexual Health Centre – was also undertaken following the newspaper exposé but the publication of its report was delayed until today because of the garda investigation.

The investigation stemmed from allegations that breaches in law relating to advice given occurred at a number of counselling services. The reporter cited transcripts of sessions between counsellors and a group of women posing as genuine clients. They secretly recorded the sessions and passed the information to a journalist.

The subsequent article alleged that counsellors provided inappropriate information on accessing the abortion pill and inappropriate advice that women did not have to reveal they had an abortion to a medical professional if they needed assistance after the termination.

The audit, which took place between January and June last year, involved site visits to six services, four of which had allegations made against them.

The auditors recommended that policies and guidelines should be written up on quality assurance, supervision and the Abortion Information Act by those which did not already have them.

They also found that the policies in place in some centres did not adequately address the issues of disclosing a termination and accessing abortion pills through online sources.

According to the HSE, work on these new policies and guidelines has been completed.

Specifically, the HSE has provided guidance to counselling services stating that a woman should always be encouraged to reveal her full pregnancy history including natural miscarriages and abortions to a health professional as not to do so could result in misdiagnoses and subsequent problems.

In relation to the availability of the abortion pill, the HSE has clarified, through training workshops with counsellors that if a client brings up the subject of the abortion pill, the counsellor should clarify that it is illegal to purchase medicines online.

The HSE also told services that women should also be advised that it is unsafe to take the abortion pill without medical supervision while also ensuring that if women who take the pill experience complications they should not be afraid to get medical help.

Speaking to TheJournal.ie today, IFPA chief Niall Behan said, “The IFPA welcomes the publishing of the HSE audit report. Our position on this issue has been consistent since the outset.

“The IFPA provides a professional and high quality counselling service under protocols that take into account all legislative requirements. Our counsellors are trained and accredited professionals with a deep commitment to their clients. Last year, they delivered counselling to over 3,700 women, girls and couples.

The HSE audit report and the DPP’s finding of no wrongdoing “whatsoever” in relation to the clandestine recordings of pregnancy counsellors at work vindicates our services.

He claimed that a number of pro-life groups have attempted to “discredit” the association’s work, adding, “While the IFPA cooperated fully with the audit, allegations and covert actions of this type are damaging to women’s health as they affect confidence in services which provide unbiased and non-directive pregnancy counselling.”

Read: Ireland is NOT one of the safest places on the planet to have a baby

See: Pro-choice group put banner advertising abortion pills on Galway Cathedral

Related: Activists take train to Belfast to get abortion pills – and say they plan to take them 

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22 Comments
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    Mute briewee
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    Nov 18th 2011, 9:00 AM

    a doctor has to prescribe a these so they should be talking to doctors who over prescribe them. my doctor will not give one unless he feels its warrants it and with children he rather lets it run its course where possible. it is not the patients fault they feel sick and go to the doctors just to make sure it is ok, at the end of the check up the doctor decides what to prescribe not the patient

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    Mute InTrapWeTrust
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    Nov 18th 2011, 9:13 AM

    Fair point re doctors, but I know myself, a lot of people self diagnose and use anti-biotics they purchased abroad or got from friends which is obviously wrong and can really cause long term harm.

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    Mute Tom Mc Carthy
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    Nov 18th 2011, 9:30 AM

    ironically most don’t realise that if your illness is viral and you take antibiotics you actually lower your immunity further. I presume there is bad news on way from HSE, they have never taken this issue seriously but suddenly they need to look like they’re doing something?

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    Mute Sean Armstrong
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    Nov 18th 2011, 9:35 AM

    Nah it’s more of a global WHO thing. And the immunity thing… Not sure what you’re getting at there, maybe suppressing gut flora? Pretty unlikely on the antibiotics used by GPs for the amount of time that they are taken.

    More of an issue is people taking the full course of antibiotics. Take them all you silly people, we don’t say take for 5 days when 2 will do, it’s to ensure full eradication of the bug.

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    Mute Paula Nolan
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    Nov 18th 2011, 11:22 AM

    If I had read this 25 years ago, I might have been impressed at the HSE tackling the issue, and dictating best practice. I might have been impressed with a public information campaign. I’d have been impressed at a public information campaign being second in importance to a campaign to stop GPs giving antibiotics to people like they were lollipops. A quarter of a century later, I am far from impressed. Way too little, way too late. The waste of time and the waste of money involved by GPs prescribing unnecessary antibiotics pales into insignificance in the face of the incalculable loss of life, and loss of quality of life. For seven years they train, with the major help of our taxes, and then behave like sheer idiots in this regard. Over the decades, every time I hear a work colleague chime, “I’ve a bit of a cold so I’m going to the doc for some antibiotics” I get so angry. I know they’ll be sick again in two week’s time, because the antibiotics will mess with their immune system – their resistance to the person next to them on the bus coughing will be minimal to nought. We will never know how many people have died due to hospital acquired infection due to antibiotics being resistant to bacteria, due to antibiotic overuse and abuse. I know someone who chose not to have a surgery to reduce his chance of a cancer recurrence, because he’d witnessed so many people battling bacterial infections post surgery. On balance, he felt the risk of a recurrence was the lesser risk. I have to wonder ‘why now?’ with this unspeakably overdue statement from the HSE. Why not a quarter of a century ago? Is there a lucrative pharma deal languishing in the filing cabinet of a penthouse office suite? Or recently shredded? Are we getting Messages From Merkel that we have to act upon? Is there a good solid reason why insanity in this regard has prevailed for so long? Did someone in the HSE just take their reality check medication? Answers please.

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    Mute Saoilí
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    Nov 18th 2011, 9:55 AM

    The HSE has diagnosed the illness; people are taking too many antibiotics. But it has prescribed the wrong treatment: http://saoili.blogspot.com/2011/11/open-letter-to-dr-fidelma-fitzpatrick.html

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    Mute Paula Nolan
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    Nov 18th 2011, 10:07 AM

    Good letter. Personally I never go to a GP with a cold or flu unless I need a sick cert for work. I let it run its course. If it feels like it’s getting into other territories: strep throat, lung infection – then I’d go to GP.

    12
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    Mute Sean
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    Nov 18th 2011, 11:04 AM

    Good article on this. People in this country do love their anti-biotics a bit too much…

    http://www.reuters.com/article/2011/11/17/antibiotic-superbugs-europe-idUSL5E7MH2A420111117

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    Mute Saffron Marriott
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    Nov 18th 2011, 1:52 PM

    I was in the UK over 20 years ago and I read a public information poster about doctors being incentivised not to prescribe unnecessary antibiotics. Why has it taken the HSE so long. Having spent the last 10 years working in childcare it depressed me to see how many children and staff are given antibiotics for viral illnesses. I can only think that doctors are doing this to justify the fees they charge. After all, if someone pays 45 euros for a doctors visit they don’t want to come away empty handed.

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    Mute Dark Stormnm
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    Nov 19th 2011, 10:58 PM

    I can only blame the gobshite Irish public for bacterial resistance to antibiotics and their overuse. I heard one lady proclaim that her doctor was a “rip-off” because he had diagnosed her throat infection as being viral, and had not prescribed antibiotics. She felt she had wasted 50 euro because she left his surgery without a prescription. Her attitude is not uncommon, and is commonly seen across Ireland with patients plaguing GP’s to prescribe antibiotics or harassing pharmacies for a “repeat” of some antibiotic they were prescribed many moons ago. All so “the kitchen sink can be thrown at the problem” and to “hit ” the infection, even if that infection is viral and they have been informed of this.

    But then again the Irish are complete gobshites in many ways from the IMF being here to voting FF in three times, to building housing estates without sewerage connected in the middle of nowhere, the contempt with which law and order is held, to the likes of Jackie Healy Rae being in the Dail or drunken Cowen singing off the back of lorries in Clara, etc.

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    Mute Oskar Fritsche
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    Nov 18th 2011, 12:21 PM

    So When are the HSE being disbanded the sooner the better.

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