I propose to take Questions Nos. 1015, 1018, 1019 and 1020 together.
In 2023, the Health Information and Quality Authority (HIQA) published a Health Technology Assessment (HTA) on the repatriation of paediatric haematopoietic stem cell transplant (allogeneic haematopoietic stem cell transplant (HSCT)) services to Ireland. The HTA was undertaken following a request from the HSE and examined the choice of treatment location for children with certain rare, inherited conditions who require stem cell transplants.
A HTA systematically gathers evidence to assist a decision-maker, such as the HSE, in informing policy choices on adopting, funding, or disinvesting in a health technology. A HTA report provides evidence-based recommendations on the clinical effectiveness, safety, cost-effectiveness, and budget impact of the assessed technology. The conclusions and information in a HTA are advisory and form just one element informing the decision making. A HTA cannot, for example, determine if there is adequate budget available to fund a new technology.
Where children are referred abroad for specialist treatment, CHI works closely with the HSE's Treatment Abroad Scheme and other organisations to support families.
As the HSE commissioned this HTA, and the implementation of recommendations is an operational matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.