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NBA campaign addresses mental health and athletes

first_imgScientists seek rare species survivors amid Australia flames But with all that pressure “we don’t really look at the mental-health aspect first and foremost, somebody’s everyday life,” DeRozan said.“You never know where we’ve grown up and where we’ve come from before we made it — that could be dwelling on us.”FEATURED STORIESSPORTSGinebra beats Meralco again to capture PBA Governors’ Cup titleSPORTSAfter winning title, time for LA Tenorio to give back to Batangas folkSPORTSTim Cone, Ginebra set their sights on elusive All-Filipino crownThe ads begin Tuesday the same day the Raptors and Cavaliers start their second round Eastern Conference playoff series in Toronto.It is rare for NBA athletes to speak about their struggles with mental health, but DeRozan and Love are trying to change that. Green group flags ‘overkill’ use of plastic banderitas in Manila Sto. Niño feast Thai ‘dwarf giant’ one win away from tying’s Mayweather 50-0 legacy LATEST STORIES “The best thing I did was come out and say, ‘Hey look, I need some help,’” Love says in one of his ad spots.Said DeRozan, “Never be ashamed of wanting to be a better you, period.”They are, of course, not the first athletes to talk openly about mental wellness, but too often the headline-grabbing stories in the sports sections these days focus on trivial matters like bad calls by officials.Three months ago, 28-time Olympic medalist Michael Phelps spoke about his life-long struggle with anxiety and depression at a mental health conference in Chicago where he encouraged people to seek help like he did.‘Tormented Life’NBA Hall of Famer Jerry West wrote a book called ‘West by West: My Charmed, Tormented Life” that was released seven years ago and dealt with his struggle with depression and low self-esteem.Like Love, former National Hockey League goaltender Corey Hirsch penned an article for the online magazine “The Players’ Tribune” where he opened up about anxiety, depression and suicidal thoughts.“Have you ever had one of those? A flash in your mind. Something totally absurd. It’s almost like your brain is telling you, ‘Think of the darkest, most horrible thing you can imagine,’” Hirsch wrote in his piece.“I had no idea what was wrong with me. What do these thoughts mean? Am I a bad person? …. Why is this happening? Holy shit, am I going insane?”The NBA’s president of social responsibility Kathy Behrens said the program will be league wide. She is grateful to DeRozan for having the courage to come forward. P16.5-M worth of aid provided for Taal Volcano eruption victims — NDRRMC DeRozan’s own battle with depression and loneliness came to light during the recent NBA all-star game when he wrote a seven-word tweet, “This depression get the best of me.”The 28-year-old all-star guard DeRozan grew up in Los Angeles suburb of Compton, the same crime-plagued area that the tennis Williams’ sisters come from.His openness led to Love speaking and writing about his struggle with dark thoughts. When the Raptors played in New York in March, NBA commissioner Adam Silver met with DeRozan to discuss the matter. Besides the TV ads, the league is coming out this week with a website that will include links to mental health resources for not only young and older athletes but the public.DeRozan and Love, who comes from the Los Angeles area, could also contribute by speaking at the league’s rookie transition program events. ADVERTISEMENT Don’t miss out on the latest news and information. In this file photo, Cleveland Cavaliers forward Kevin Love sits on the bench as time runs out in the second half of an NBA basketball game against the Denver Nuggets, in Denver. APToronto Raptors star DeMar DeRozan and Cleveland Cavaliers ace Kevin Love are part of a new public service campaign launched by the NBA aimed at encouraging mental wellness for athletes. “We always preach eating healthy, exercising, being an elite athlete,” DeRozan told the Toronto Globe and Mail newspaper.ADVERTISEMENT MOST READcenter_img Jo Koy draws ire for cutting through Cebu City traffic with ‘wang-wang’ ‘Stop romanticizing Pinoy resilience’ Carpio hits red carpet treatment for China Coast Guard PLAY LIST 02:14Carpio hits red carpet treatment for China Coast Guard02:56NCRPO pledges to donate P3.5 million to victims of Taal eruption00:56Heavy rain brings some relief in Australia02:37Calm moments allow Taal folks some respite03:23Negosyo sa Tagaytay City, bagsak sa pag-aalboroto ng Bulkang Taal01:13Christian Standhardinger wins PBA Best Player award Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew Truck driver killed in Davao del Sur road accident In fight vs corruption, Duterte now points to Ayala, MVP companies as ‘big fish’ Volcano watch: Island fissures steaming, lake water receding “DeMar didn’t fully understand what he was about to get into when he first tweeted that out,” Behrens told the Globe. “But he soon realized that, once he opened the door he was willing to walk through it. “Sports Related Videospowered by AdSparcRead Next View commentslast_img read more

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Nets bounce back, beat weary Suns

first_img“It’s the NBA. We understand that,” Booker said. “I’d say a late game going into an early game I don’t quite understand. I think the other way around would make more sense, but I don’t make the schedule. They say computers do, so we’ll just go with that.”They had a brunch meeting Sunday but coach Igor Kokoskov said they didn’t talk much basketball, feeling the players weren’t ready to think about that.He said even the players who said they were tired and sore wanted to play. They were a step slow in the first quarter, giving up 38 points, but steadied themselves in the second and trailed 63-56 at halftime.It wasn’t close much longer, thanks to Brooklyn making five 3-pointers in the third quarter while Phoenix went 0 for 5.Ayton’s basket had cut it to two with 8:26 left in the period before Joe Harris and Russell made consecutive 3-pointers, Kurucs made the next two baskets and Jared Dudley made another 3 to cap a 13-0 spurt and give the Nets a 79-64 lead. Russell hit another 3 for the final points of the period, making it 91-74.“Man, we started making winning plays,” Russell said. “To get separation we had to get stops. It took a lot.”Phoenix made it look closer by intentionally fouling Ed Davis, who finished with 15 points and nine rebounds but was just 1 for 7 from the line.TIP-INSSuns: Phoenix fell to 2-2 on its season-high, five-game trip that ends Wednesday in Orlando. … T.J. Warren was just 2 for 11 for four points.Nets: Harris made three 3-pointers, making him the first player in franchise history to make three or more in 6 straight games. He scored 13 points. … Atkinson said he expects G Allen Crabbe (sore right knee) back soon after Christmas. Japeth Aguilar embraces role, gets rewarded with Finals MVP plum NO SLEEP IN BROOKLYNKokoskov downplayed the impact the Suns’ late bedtime would have.“Well, I’ve been up for the wrong reasons so many times,” he joked.As for the players?“No, it doesn’t affect,” the native of Serbia said. “It’s a new generation, they’re good. They play video stations all night long.”ALL’S FINEAtkinson said he preferred to move forward rather than say much about the $25,000 fine he was given by the NBA on Saturday for verbally abusing game officials and failing to leave the court in a timely manner following his ejection late in Friday’s game. He had he had spoken with Kiki VanDeWeghe, the NBA’s executive vice president of basketball operations, and understood the explanation.“The referees, and I really mean this, I think they do a fantastic job and that’s throughout the league,” Atkinson said. “And I think I make mistakes, they make mistakes, and my focus needs to be on our players and making the adjustments that’s going to help us pull out a game.”UP NEXTSuns: Visit Orlando on Wednesday. LATEST STORIES ‘Mia’: Rom-com with a cause a career-boosting showcase for Coleen Garcia Nets: Host Charlotte on Wednesday.Sports Related Videospowered by AdSparcRead Next After winning title, time for LA Tenorio to give back to Batangas folk Nadine Lustre’s phone stolen in Brazil Ginebra beats Meralco again to capture PBA Governors’ Cup title This is the pros.“I was talking to the coach, I was like, ‘Yo, we’ve got to do this again,’” he said.FEATURED STORIESSPORTSGinebra beats Meralco again to capture PBA Governors’ Cup titleSPORTSJapeth Aguilar wins 1st PBA Finals MVP award for GinebraSPORTSGolden State Warriors sign Lee to multiyear contract, bring back ChrissHe and the Suns found out just how tough that is with weary legs after playing three overtimes a night earlier.Spencer Dinwiddie scored 24 points, D’Angelo Russell had 18 points, eight assists and six rebounds, and the Brooklyn Nets beat the Suns 111-103 on Sunday night. View comments GALLERY: Inquirer Sports’ 7 best photos of 2018 Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew The Suns, who fell 149-146 in Washington a night earlier, dropped their second straight after a four-game winning streak.Rookie Rodions Kurucs from Latvia added 16 points and 10 rebounds for the Nets. They bounced back from a loss to Indiana on Friday to win for the eighth time in nine games.“I still think the defense could be better. I think we’re in an OK place, not a great place,” coach Kenny Atkinson said.Ayton had 26 points and 18 rebounds, shooting 13 of 16 from the field. Devin Booker — who yawned a couple times in the locker room before the game — had 25 points and nine assists a night after playing 55 minutes.The Suns arrived at their New York hotel after 1:30 a.m. and had a short turnaround with the game in Brooklyn tipping at the earlier-than-usual time of 6 p.m., and knew they faced a tough game.ADVERTISEMENT MOST READ Brooklyn Nets’ Spencer Dinwiddie (8) passes away from Phoenix Suns’ Troy Daniels (30) during the first half of an NBA basketball game Sunday, Dec. 23, 2018, in New York. (AP Photo/Frank Franklin II)NEW YORK — Deandre Ayton was eating breakfast after a short, sleepless night when the reality of NBA life hit the rookie.In college, he’d have had a break Sunday.ADVERTISEMENT Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew Gretchen Barretto’s daughter Dominique graduates magna cum laude from California college Carpio hits red carpet treatment for China Coast Guard PLAY LIST 02:14Carpio hits red carpet treatment for China Coast Guard02:56NCRPO pledges to donate P3.5 million to victims of Taal eruption00:56Heavy rain brings some relief in Australia02:37Calm moments allow Taal folks some respite03:23Negosyo sa Tagaytay City, bagsak sa pag-aalboroto ng Bulkang Taal01:13Christian Standhardinger wins PBA Best Player award Don’t miss out on the latest news and information. No.13 lucky for Orlando Bloomlast_img read more

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‘No Development without Taxes’

first_imgThe Charge d’ Affaires and Acting Ambassador of Nigeria to Liberia, Mohammed Tahir, says no nation can develop without taxes from the people. “Taxation is every government’s priority; no country can succeed without revenue, and these revenues are mostly the taxes,” the Nigerian Envoy stated Tuesday, February 16, at the Nigeria House in Congo Town.Acting Ambassador Tahir was speaking when the Commissioner General of the Liberia Revenue Authority (LRA), Elfrieda Stewart Tamba, led an LRA delegation on a working visit.Ambassador Tahir indicated that governments depend on taxes, noting that, “If you don’t pay tax, then expect no development.” He said countries with vast resources depend on taxation and those who do not pay taxes are made to pay with fines.Governments need the taxes to properly function such as providing social services, security and other opportunities for their people, he said. “You need to pay something to the country; so the issue of tax, I support it and my government supports it and I am sure my government is willing to help Liberia in its drive to collecting its taxes,” Ambassador Tahir said.The Nigerian diplomat said he will discuss with his government to see how it can partner to assist Liberia “because without taxes there will be no development.”Earlier, Commissioner General Tamba lauded the Nigerian government for its previous support to the customs operations in Liberia and stressed the need for more technical and logistical support to Liberia.“Nigeria is a big brother so we have come to explain to you about the work of the LRA and appeal to Nigeria for assistance,” Commissioner General Tamba noted.She said the LRA needs technical assistance to improve its management information system, which she described as a chief driver in facilitating efficiency and effectiveness in organizations. “If you say you are a modern organization, then your business should be underpinned by technology,” she said.Commissioner General Tamba said that the LFA also faces low level technical capacity, stating, “This is one area where Nigeria can help us to improve our technical (capacity) either by training our personnel in Nigeria or having the experts come to Liberia to pass on practical skills.”Among other things, Mrs. Tamba emphasized that the LRA is looking to develop partnership with the Federal Inland Revenue Service and the Lagos Revenue Agency to boost knowledge-sharing, especially in relations to customs and tax, as well as training in anti-smuggling, investigative and intelligence gathering skills.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more

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Victory for 405

first_imgTHERE’S good reason to celebrate and lessons to be learned from the Traffic Disaster That Almost Was – Sacramento’s near-failure to fund relief for the 405 Freeway. Although the California Transportation Commission staff’s initial recommendation excluded funding for a diamond lane on the northbound 405, the commission came to its senses last week. Now the first $4.5 billion to be spent from last year’s $19.9 billion transportation relief will include funds for the nation’s most congested freeway. Funds will also be forthcoming for bound car-pool lanes on the 5 Freeway between Routes 134 and 170. All in all, L.A. County will get about 25 percent of the appropriation – which is decent, as it has roughly 30 percent of the state’s population. Consider what this development means for the people of greater Los Angeles: We’re getting a fairer return on our investment. We’re not being neglected by our own elected officials. And our government is tending to the biggest problems first, rather than playing pork-barrel games. north- and south It almost seems too good to be true. This respectful treatment is not, suffice it to say, what we’ve come to expect from our government. Well, first of all, local officials – city, county and state – and members of both parties worked together for the common good instead of separately to advance their own pet causes. On the rare occasions when our politicians cooperate, they’ve got the collective power to get things done. And what sparked this amazing bout of good government was nothing less than an enraged, engaged public. L.A. voters were furious that, having backed last year’s massive infrastructure bond, we would be short-changed. So the politicians got an earful. What gives? The newspapers and talk radio crackled with discontent. Phone calls were made and e-mails were sent, letting our elected leaders know that we would not accept another betrayal. And in response, the politicians did what they were supposed to do: use their power for the benefit of their constituents. The result is a great victory for L.A., one that can and should be duplicated many, many times again.160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set!last_img read more

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Ibrahimovic set for Hollywood ending after Man Utd exit

first_imgSports Illustrated said Ibrahimovic’s move to California would be officially announced in a full-page advertisement in Friday’s edition of the Los Angeles Times.MLS rules allow clubs to sign three designated players who are not subject to salary limits, a rule introduced when David Beckham arrived in the league in 2007.However, because the Galaxy have already signed their designated players for the 2018 season, Ibrahimovic’s salary will be limited to around $1.5 million (1.2 million euros) according to the Sports Illustrated report.That represents a fraction of the reported £19 million ($26.8 million, 21.8 million euros) a season Ibrahimovic was paid after signing for United from Paris Saint-Germain in 2016.The Galaxy have a history of luring ageing stars to America with Beckham, Steven Gerrard and Robbie Keane among those to have made the move to Los Angeles.Former England international Ashley Cole is the club’s current captain.Ibrahimovic, 36, hasn’t featured at all for Jose Mourinho’s United side since being substituted at half-time in a 2-2 draw with Burnley on December 26.– United goodbye –The Swede scored 28 goals in 46 appearances during a stunning first season in England before tearing knee ligaments in a Europa League tie against Anderlecht in April.His form was rewarded with an extension of his contract for a second season, but the £75 million ($105 million) signing of Romelu Lukaku saw him slip down the pecking order at Old Trafford.In a statement on Thursday, United said Ibrahimovic would leave the club with their blessing.“Manchester United confirms that it has agreed to the termination of Zlatan Ibrahimovic’s contract with immediate effect,” United said.“Everyone at the club would like to thank Zlatan for his contribution to the team since his arrival and wishes him well for the future.”News of Ibrahimovic’s move to California is the latest and likely final stop on a glittering career which has seen the 6ft 4in (1.95m) forward collect 31 winners medals during spells with Ajax, Inter Milan, Barcelona, AC Milan, Paris Saint-Germain and United.As well as delivering on the pitch, Ibrahimovic’s larger-than-life persona has delighted fans wherever he has played.Upon departing PSG in 2016, he famously quipped: “I came like a king, left like a legend.”He was similarly flamboyant during his spell with United, saying earlier this season his recovery from his knee injury was down to the fact that “lions don’t recover like humans.”– ‘Washed up’? –Whether Ibrahimovic is likely to enjoy a similarly successful spell in America remains an open question however.While the technical level of the league is below that of leading leagues in Europe, MLS remains a physically demanding arena that is likely ask questions of a player still working his way from a serious knee injury.“Is he the physical force who dominated the top levels of the game for well over a decade?” ESPN soccer writer Jeff Carlisle asked on Thursday.“Or is LA getting a washed-up 36-year-old forward who isn’t even a year removed from a devastating knee injury, and can no longer rely on his once-prodigious physical gifts?”The Swede’s reported arrival in MLS comes at a time when clubs are increasingly turning away from the recent practice of signing veteran European stars already into their 30s.Several clubs have instead found success by looking to sign younger players from South America who view the league as a potential springboard for a move to Europe.Although the Galaxy are the most successful club in MLS history with a record five championships, their fortunes have dipped sharply in recent seasons.Last year the club finished bottom of the Western Conference with only eight wins from 34 games. It was only the fourth time the club had failed to reach the playoffs, and the first time it finished with the league’s wooden spoon.The Galaxy’s aura has also been diminished by the arrival this year of expansion side Los Angeles Football Club — who could potentially be Ibrahimovic’s first opponents when they play the Galaxy in a derby clash on March 31.0Shares0000(Visited 1 times, 1 visits today) 0Shares0000Manchester United’s Swedish striker Zlatan Ibrahimovic is set to sign for LA Galaxy, according to US media reports © AFP/File / Oli SCARFFLOS ANGELES, United States, Mar 23 – Zlatan Ibrahimovic has signed for the Los Angeles Galaxy and could make his debut for the Major League Soccer side this month, US media reported on Thursday.The Los Angeles Times and Sports Illustrated both reported Ibrahimovic had inked a deal with the Galaxy shortly before Premier League giants Manchester United confirmed the Swedish star had been released from his Old Trafford contract.last_img read more

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Huskies Early Bird Season Ticket Pricing

first_imgFORT ST. JOHN, B.C. – The Huskies are currently promoting their Early Bird Season Ticket pricing before September 1st, 2019.With 19 regular-season home games this year versus the 17 last year there is a lot of entertainment to be had.2019-20 Season Passes Rates; Infant (0-4) – Early Bird FREE / After FREE Child (5-18) – Early Bird $75 / After $85 Adult (19-54) – Early Bird $150 / After $170 Senior (55+) – Early Bird $75 / After $85 Family (4+) – Early Bird $425 / After $480- Advertisement -Tickets are available at the upcoming training camp (Aug 30 – Sept 1) or email; fsjhuskieshockey@gmail.comlast_img read more

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DANIEL’S PROFITS DOUBLE TO MORE THAN €1 MILLION

first_imgDaniel O’Donnell’s fortune has enjoyed mixed fortunes following the publication of his accounts.The Kincasslagh singer’s main company’s profits doubled last year to more than €1 million.However, his fixed assets have been written down by €2.1 million up until the end of October last. The accounts for DOD Promotions Ltd show its latest profits reduced from €4.89 million to €3 million as a result of a write-down.The firm’s cash reserves went from €666,632 to a more healthy €1.037 million. DANIEL’S PROFITS DOUBLE TO MORE THAN €1 MILLION was last modified: April 11th, 2013 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:accountsdaniel o’donnellprofitslast_img read more

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IN FULL: GOVERNMENT PUBLISHES PROTECTION OF MATERNAL LIFE DURING PREGNANCY BILL

first_imgGENERAL SCHEME OF THEProtection of Life during Pregnancy Bill 2013Page 1 30/04/2013 InterpretationContentsRisk of loss of life from physical illnessRisk of loss of life from physical illness in an emergency situation Risk of loss of life from self-destructionMedical opinion to be in the form and manner prescribed by the Minister Formal medical review proceduresReview in physical illness mattersReview in case of risk of loss of life through self-destructionGeneral provisions for Committee Formal medical review reports to MinisterNotificationsConscientious ObjectionTravel and Information RegulationsRegulations respecting certification of opinions referred to in this Act Regulations respecting notifications to the MinisterLaying of regulations before Houses of the OireachtasRepeals and consequential amendments of other ActsOffenceCommencementPage 230/04/2013Head 1 Interpretation(1) In this Act-“Appropriate location” means any premises which is carried on by the Executive or by a person with whom the Executive has entered into an arrangement for the provision of a health and personal social service under section 38 of the Health Act 2004 and which are, either wholly or partly, used for the care and treatment of(a) pregnant women in relation to pregnancy, childbirth and post-partum care, and (b) neonates.“Executive” means the Health Service Executive;“implantation” means implantation in the womb of woman;“medical procedure” includes the provision of any drug or any medical treatment;“midwife” means a person whose name is registered in the midwives division of the register of nurses and midwives established under section 46 of the Nurses Act 2011;“Minister” means the Minister for Health;“neonate” means a baby who is 4 weeks old or younger;“nurse” means a person whose name is registered in the nurses division of the register of nurses and midwives established under section 46 of the Nurses Act 2011;“obstetrician/gynaecologist” means a medical practitioner who is registered in the Specialist Division of the register of medical practitioners established under section 43(2)(b) of the Medical Practitioners Act 2007 under obstetrics/gynaecology;“psychiatrist” means a medical practitioner who is registered in the Specialist Division of the register of medical practitioners established under section 43(2)(b) of the Medical Practitioners Act 2007 under psychiatry;“reasonable opinion” means an opinion formed in good faith which has regard to the need to preserve unborn human life as far as practicable;“registered medical practitioner” means a medical practitioner whose name is entered in the register of medical practitioners established under section 43(1) of the Medical Practitioners Act 2007;“relevant specialty” means a medical specialty listed in the Specialist Division of the register of medical practitioners established under section 43(2)(b) of the Medical Practitioners Act 2007, and relevant to the threat to the life of the pregnant woman;“review committee” means a committee established under head 7;“unborn” as it relates to human life means following implantation until such time as it has completely proceeded in a living state from the body of the woman.Page 3 30/04/2013“woman” means a female person of any age.Explanatory NotesSubhead (1) provides the necessary definitions.“Appropriate location”The Minister believes that the State’s constitutional obligation and its responsibility to act in the common good demand that, provision of terminations of pregnancy be only allowed in health care facilities providing obstetric and mental health services and where relevant specialists are attached, that can be duly monitored and investigated, should the need arise.At present the regulation of obstetric units falls under the Registration of Maternity Homes Act 1934 and the Health Act 2007. The 1934 Act provides for a system of registration for maternity homes and for the keeping of certain records, administered by the Health Service Executive (HSE). It is due to be repealed under the proposed modern licensing system for all acute hospitals. In the meantime, under Section 8 of the Act, HIQA sets standards on safety and quality in relation to services directly provided by the HSE and bodies funded by the HSE to provide services on its behalf (i.e. the public health service). It is the Minister’s view that the 2007 Act offers scope for oversight of terminations of pregnancy permitted under the Bill and consistent with our obligations under Article 40.3.3.The relevant medical treatment, therefore, may only be provided in public obstetric units except in emergencies for the following reasons:1) HIQA can monitor their compliance with standards on safety and quality2) HIQA can carry out investigations as to the safety, standards and quality of publicobstetric units3) The Minister can request HIQA to carry out investigations as to the safety,standards and quality of public obstetric unitsThere are currently 19 public obstetric units across the country. Sixteen of them are managed by the Health Service Executive, and three are voluntary maternity hospitals. The HSE has responsibility for the management and delivery of health and personal social services under the Health Act 2004. It delivers services itself and it can also, under section 38 of the Act, enter into an arrangement with other agencies to provide services on its behalf. This would include the three voluntary maternity hospitals.The HSE and agencies providing services under section 38 on behalf of the HSE come within HIQA’s remit and the remit of the Mental Health Commission.“Implantation” means implantation in the womb of a woman. This definition aims to exclude the treatment of ectopic pregnancies and emergency contraception from the scope of this Bill.Other than in emergency situations, doctors who can certify in regard to a real and substantial risk to the woman of loss of life that can only be averted by a medical procedure in the course of which or as a result of which unborn human life is ended must be registered by the Medical Council in its Specialist Division. “Relevant speciality”, “obstetrician/gynaecologist” and “psychiatrist” are terms used in the Bill in connection with the certification process. “Relevant specialty” is defined with reference to specialist knowledge to ensure doctors involved in the certification process have a high level of knowledge and skills but it is not further limited in order to ensure that all clinical specialities that might be relevant are included in the definition. In relation to the definitions of “obstetrician/gynaecologist” and “psychiatrist”, again it is considered that SpecialistPage 4 30/04/2013registration is required in order to ensure that all doctors involved in certification procedures fulfil precise and formal criteria as regards levels of knowledge and skills. Further detail on certification is given in Head 2, 3, and 4.“Reasonable opinion”The definition of “reasonable opinion” requires that this opinion must be formed in good faith and must have regard to protect and preserve unborn human life where practicable. The registered medical practitioner(s) will be obliged to record this opinion in writing if certifying a procedure that will end unborn human life. This definition is intended to place a duty on certifying medical practitioners to preserve the life of the unborn as far as practicable, and is influenced by the Twenty-fifth Amendment of the Constitution (Protection of Human Life in Pregnancy) Bill 2001 (section 1).The Bill provides that terminations permitted under the Bill may only be carried out by registered medical practitioners. “Registered medical practitioner” means a doctor registered by the Medical Council, under the Medical Practitioners Act 2007, which indicates a person permitted by law to practice as a medical practitioner in the State. In the performance of their professional activities, all such medical practitioners are, as a matter of law, subject to the ethical and professional control of the Medical Council. It is not intended that it should be possible for a person other than a qualified doctor to undertake the procedures involved in this Bill.‘Unborn’ The definition suggested above is based on the Supreme Court judgment in Roche v Roche & Others1 which deemed that embryos acquire legal protection under Article 40.3.3 of the Constitution only from the moment of implantation. This definition of ‘unborn’ protects the foetus from implantation until birth, including a foetus in the course of being born, thereby closing off a potential legal irregularity in legislation identified by the Expert Group in its report on the A,B,C v Ireland Judgement.1 [2012] IRRM 411.Page 5 30/04/2013Head 2 Risk of loss of life from physical illness, not being a risk of self destructionProvide that(1) It is not an offence to carry out a medical procedure, in accordance with this head, in the course of which or as a result of which unborn human life is ended, where –(a) that procedure is carried out by a registered medical practitioner at an appropriate location, and(b) two medical practitioners, have, in accordance with this head, jointly certified in good faith that –(i) there is a real and substantial risk of loss of the pregnant woman’s life other than by way of self-destruction, and(ii) in their reasonable opinion this risk can be averted only by that medical procedure.(2) One of the two medical practitioners referred to in paragraph (b) of subhead (1) shall be an obstetrician/gynaecologist, who must be employed at that location, and one shall be a medical practitioner who is registered on the Specialist Division of the register of medical practitioners established under section 43(2)(b) of the Medical Practitioners Act 2007 under a relevant specialty.(3) (a) In forming their opinion, at least one of the two medical practitioners referred to in paragraph (b) of subhead (1) shall consult with the pregnant woman’s general practitioner where practicable.(b) In forming the aforesaid opinion both medical practitioners should examine the woman.(4) Where two medical practitioners referred to in subhead (2) have jointly certified an opinion referred to in paragaph (b) of subhead (1), the certifying obstetrician/gynaecologist referred to in subhead (2) shall forward the certificate to a location referred to in paragraph (a) of subhead (1) and shall make arrangements for carrying out the procedure at that location.(5) It will always be a matter for the patient to decide if she wishes to proceed with a termination following a decision that it is permissible under this Act.Explanatory NotesHead 3 provides that it is not an offence to carry out a medical procedure in the course of which or as a result of which unborn human life is ended. The criteria are those laid out in the X case judgment, where a termination of pregnancy is permissible if it is established as a matter of probability that:1) there is a real and substantial risk to the life of the mother; and2) this risk can only be averted by the termination of her pregnancy.Under subhead (1), a termination is lawful if each of the following requirements is met:(1) the termination is carried out in an appropriate location, i.e. a public obstetric unit. There are currently 19 public obstetric units around the country.(2) the procedure is undertaken by a registered medical practitionerPage 6 30/04/2013(3) two registered medical practitioners qualified to act under the legislation have jointly certified their opinion that there is a real and substantial risk to the life of the mother arising from a physical illness, not being a risk of self-destruction, and this risk can only be averted by the termination of her pregnancy.The Supreme Court judgment in the X case indicated that it is not necessary for medical practitioners to be of the opinion that the risk to the woman’s life is inevitable or immediate, as this approach insufficiently vindicates the pregnant woman’s right to life.Looking to other areas of medical practice, the case of involuntary detention under the Mental Health Act 2001 provides guidance in that, given the serious consequence arising from the medical assessment, the opinion of more than one doctor is required. In light of the fundamental constitutional rights involved in this clinical decision-making process, i.e. the right to life of the pregnant woman and of the unborn, subhead (1) provides that two doctors will be required to form an opinion and jointly certify that a termination of pregnancy is required to avert a real and substantial risk to the life of the mother. Subhead (2) provides that one doctor must be an obstetrician/gynaecologist, while the other medical practitioner must be of a specialty relevant to the clinical assessment of the woman. One of these medical practitioners must be employed at the location where the termination is due to take place.The Bill does not specify that the two doctors examine the woman together or that they examine the woman at the same location. It is expected that a decision would be reached following a multi-disciplinary discussion in accordance with medical best practice.In light of this approach, the general scheme is silent on how the certification may come about. Clinical scenarios where the X case criteria might apply are bound to be complex. Due to the unpredictability and complexity of these rare medical cases it was felt not desirable to provide in legislation for a specific referral pathway. Rather, it is deemed that standard medical practice will provide an appropriate mechanism for the process through which an assessment would be accessed.In this regard, it is important that professional guidance is developed by the relevant professional Colleges for their members on the operation of this legislation. In order to facilitate this and to ensure its timely development, the Department of Health will support and work very closely with all the relevant professional bodies (particularly, the Institute of Obstetrics and Gynaecology, the Royal College of Physicians and the Irish College of General Practitioners) in developing guidelines for their members on the implementation of the legislation following enactment of the Protection of Life during Pregnancy Bill. Steps have already been taken to establish the willingness of these Professional Medical bodies to work with the department on such guidance.As mentioned in the Interpretation, it is considered that Specialist registration is required to ensure that all doctors involved in certification procedures fulfil precise and formal criteria as regards their levels of knowledge and skills.Subhead 2 provides details on the professional expertise of the relevant certifying medical practitioners. Except in emergency circumstances, an obstetrician/gynaecologist will always be one of the certifying medical practitioners. This provision is deemed appropriate for two reasons. Firstly, in accordance with current clinical practice, an obstetrician/gynaecologist is obliged to care for the pregnant woman and the foetus and, therefore has a duty of care to both patients and to have regard to protecting the right to life of the unborn and to bring that to bear on the care of the woman and her unborn child. Secondly, a termination of pregnancy will most likely be carried out by, or under the care of, anPage 7 30/04/2013obstetrician/gynaecologist, and therefore their inclusion here should be central in accessing services and ensuring patient safety.As the Expert Group’s Report indicated General Practitioners often have a long-term relationship with their patients and, therefore, it may be appropriate that GPs are consulted as a matter of best practice in the course of the diagnostic process. This would provide access to their knowledge of the patient and establish continuity of care for the woman after the treatment has been delivered.The aim of subhead (4) is to ensure that following certification of medical opinion, a woman can then access this treatment in the usual way, i.e. through referral by the appropriate specialist.Subhead (1)(b)(ii) refers to a ‘reasonable opinion’. This is defined in the Interpretation to mean an opinion formed in good faith, which has regard to the need to preserve unborn life where practicable. Again, as outlined earlier, this definition is intended to place a duty on certifying medical practitioners to preserve the life of the unborn as far as practicable, and is influenced by the Twenty-fifth Amendment of the Constitution (Protection of Human Life in Pregnancy) Bill 2001 (section 1). This emphasis on preserving unborn human life as far as practicable governs the actual medical procedure – the termination of pregnancy only and not whether there is a real and substantial risk to the life of the mother.In circumstances where the unborn may be potentially viable outside the womb, doctors must make all efforts to sustain its life after delivery. However, that requirement does not go so far as to oblige a medical practitioner to disregard a real and substantial risk to the life of the woman on the basis that it will result in the death of the unborn.Essentially the decision to be reached is not so much a balancing of the competing rights- rather, it is a clinical assessment as to whether the mother’s life, as opposed to her health, is threatened by a real and substantial risk that can only be averted by a termination of pregnancy.Page 8 30/04/2013Head 3 Risk of loss of life from physical illness in a medical emergencyProvide that(1)It is not an offence to carry out a medical procedure, in accordance with this head, in the course of which or as a result of which unborn human life is ended, where –(a) that procedure is carried out by a medical practitioner,(b) he or she in good faith believes that there is an immediate risk of loss of the pregnant woman’s life other than by way of self- destruction, and(c) the medical procedure is, in his or her reasonable opinion, immediately necessary to save the life of the woman.(2) The opinion referred to in subhead (1) shall be certified by the registered medical practitioner referred to in subhead (1) in the form and manner prescribed by the Minister.Explanatory NotesThe Bill must also take account of medical emergencies, while setting clear and appropriate parameters. These provisions apply in cases where the risk to the life of the woman is immediate and are limited to risks arising from physical conditions.The requirements are set out in subhead 1 and are that:(1) a registered medical practitioner is of the opinion that the termination is immediately necessary to save the life of the pregnant woman, and issues a certificate to that effect, and(2) the termination has been undertaken by a registered medical practitioner.Doctors should not be prevented from saving a woman’s life in a situation of acute emergency, because, for example, the required numbers of doctors are not available to certify or the woman in question arrives at a health facility that is not covered as an appropriate location under this Bill i.e. not a public obstetric unit. Therefore, in emergency circumstances, the reasonable opinion of one medical practitioner is required to certify that the termination is immediately necessary to save the life of a pregnant woman, but the medical practitioner who carries out the procedure will be required to certify the reasons for his/her actions, and notification of all emergency terminations will be sent to the Minister. Again, this opinion must be formed in good faith and have regard to the need to preserve unborn life where practicable. Because of its emergency nature, this termination may be carried out in a location other than a public obstetric unit.Page 9 30/04/2013Head 4 Risk of loss of life from self-destructionProvide that(1) It is not an offence to carry out a medical procedure, in accordance with this head, in the course of which or as a result of which unborn human life is ended, where –(a) that procedure is carried out by a registered medical practitioner at an appropriate location,(b)one obstetrician/gynaecologist, who must be employed at that location, and two psychiatrists, both of whom shall be employed at a centre which is registered by the Mental Health Commission, and one of whom shall be attached to an institution where such a procedure is carried out, in accordance with this head, jointly certified in good faith that –(i) there is a real and substantial risk of loss of the pregnant woman’s life by way of self-destruction, and(ii) in their reasonable opinion this risk can be averted only by that medical procedure.(2) (a) At least one of the three medical practitioners referred to in paragraph (b) of subhead (1) shall consult with the pregnant woman’s general practitioner where practicable.(b)In forming the aforesaid opinion, the medical practitioners should examine the woman.(3)Where three medical practitioners referred to in this head have jointly certified an opinion referred to in paragraph (b) of subhead (1), the certifying obstetrician/gynaecologist referred to in paragraph (b) shall forward the certificate to a location referred to in paragraph (a) of subhead (1) and shall make arrangements for the carrying out of the procedure at that location.(4) It will always be a matter for the patient to decide if she wishes to proceed with a termination following a decision that it is permissible under this Act.Explanatory notesHead 4 is concerned with risk of loss of life from self destruction. The criteria are again based on the judgment in the X case, this time focusing on cases where a termination of pregnancy is permissible if it is established as a matter of probability that:1) there is a real and substantial risk to the life of the mother arising from suicide intent; and2) this risk can only be averted by the termination of her pregnancy.It is not necessary for medical practitioners to be of the opinion that the risk to the woman’s life is inevitable or immediate as this approach insufficiently vindicates the pregnant woman’s right to life.This head provides that three doctors are required to form an opinion and jointly certify that a termination is required to avert a real and substantial risk to the life of the mother. This provision arises from the recognised clinical challenges in accurately assessing suicidal intent, and the absence of objective clinical markers. In these cases the Bill provides that thePage 10 30/04/2013opinion will be jointly certified by an obstetrician/gynaecologist and two psychiatrists. Both of these psychiatrists must be employed in a hospital or other in-patient facility for the care and treatment of persons suffering from mental Illness or mental disorder registered by the Mental Health Commission under the Mental Health Act 2001. Also, one of these shall be attached to the institution where such a procedure is carried out.The Bill does not specify that the three doctors examine the woman together or that they examine the woman at the same location. It is expected that a decision would be reached following a multi-disciplinary discussion in accordance with medical best practice.In light of this approach, the general scheme is silent on how the certification may come about. Clinical scenarios where the X case criteria might apply are bound to be complex. Due to the unpredictability and complexity of these rare medical cases it was felt not desirable to provide in legislation for a specific referral pathway. Rather, it is deemed that standard medical practice will provide an appropriate mechanism for the process through which an assessment would be accessed.As mentioned in the Interpretation, it is considered that Specialist registration is required to ensure that all doctors involved in certification procedures fulfil precise and formal criteria as regards their levels of knowledge and skills.As the Expert Group’s Report indicated General Practitioners often have a long-term relationship with their patients and therefore have in-depth knowledge of a patient’s personal circumstances. The GP may be able to provide valuable insight into her clinical history; knowledge which might be particularly useful when assessing a real and substantial risk to life through suicide. Therefore, it may be appropriate that GPs are consulted as a matter of best practice in the course of the diagnostic process. This would provide access to their knowledge of the patient and establish continuity of care for the woman after the treatment has been delivered. In this regard, it is important that professional guidance is developed by the relevant professional Colleges for their members on the operation of this legislation. In order to facilitate this and to ensure its timely development, the Department of Health will support and work very closely with all the relevant professional bodies (particularly the Irish College of Psychiatry, the Institute of Obstetrics and Gynaecology, and the Irish College of General Practitioners) in developing guidelines for the their members on the implementation of the legislation following enactment of the Protection of Life during Pregnancy Bill. Steps have already been taken to establish the willingness of these Professional Medical bodies to work with the department on such guidance.The aim of subhead (3) is to ensure that following certification of medical opinion, a woman can then access this treatment in the usual way, i.e. through referral by the appropriate specialist.Subhead (1)(b)(ii) refers to a ‘reasonable opinion’. This is defined in the Interpretation to mean an opinion formed in good faith, which has regard to the need preserve unborn life where practicable. Again, as outlined earlier, this definition is intended to place a duty on certifying medical practitioners to preserve the life of the unborn as far as practicable, and is influenced by the Twenty-fifth Amendment of the Constitution (Protection of Human Life in Pregnancy) Bill 2001 (section 1). This emphasis on preserving unborn human life as far as practicable governs the actual medical procedure – the termination of pregnancy only and not whether there is a real and substantial risk to the life of the mother.In circumstances where the unborn may be potentially viable outside the womb, doctors must make all efforts to sustain its life after delivery. However, that requirement does not goPage 11 30/04/2013so far as to oblige a medical practitioner to disregard a real and substantial risk to the life of the woman on the basis that it will result in the death of the unborn.Essentially the decision to be reached is not so much a balancing of the competing rights- rather, it is a clinical assessment as to whether the mother’s life, as opposed to her health, is threatened by a real and substantial risk that can only be averted by a termination of pregnancy.Page 12 30/04/2013Head 5 Medical opinion to be in the form and manner prescribed by the Minister(1) A medical opinion referred to in heads 2, 3, or 4 shall be given in the form and manner prescribed by the Minister.Explanatory NotesThis head provides that medical opinions in heads 2, 3, or 4 must be certified in the form and manner prescribed by the Minister. This is intended to allow proper documentation of the certification process.Page 13 30/04/2013Head 6 Formal Medical Review Procedures(1) Where a medical practitioner qualified to certify in accordance with head 2 or as the case may be head 4 has been consulted by a pregnant woman in relation to whether there is a real and substantial risk of loss to her life that can only be averted by a medical procedure in the course of which or as result of which unborn human life may be terminated and the practitioner is not of an opinion referred to in head 2 or head 4, he or she shall inform the pregnant woman that she may make an application as set out in subhead (2) of this head.(2) A pregnant woman or a person on her behalf with her consent may apply in writing to the HSE in the form and manner prescribed by the Minister to have her case reviewed if she has consulted a medical practitioner qualified to certify in accordance with head 2, or as the case may be, head 4, and the medical practitioner is not of the opinion referred to in those heads or has not given an opinion in relation to the matter.(3) The Executive shall establish and maintain a panel of medical practitioners meeting the requirements in relation to certification under head 2 and head 4 and of sufficient size and composition for the purposes of a review referred to in subhead (2) on the nomination of(a) Institute of Obstetricians and Gynaecologists (b) Irish College of Psychiatry(c) Royal College of Surgeons in Ireland(d) Royal College of Physicians of Ireland(4)The Executive shall appoint and authorise one or more of its employees with appropriate qualifications and experience for the purposes of establishing and convening a committee in accordance with subhead 5.(5) As soon as possible but no later than 7 days after receiving a completed written application in accordance with subhead (2), an authorised person referred to in subhead (4) shall establish and convene a committee drawn from the panel established and maintained by the Executive under subhead (3).(6) As soon as possible but no later than 7 days after having been convened in accordance with subhead (5), the committee shall review the case and shall form an opinion in good faith as to whether or not there is a real and substantial risk of loss of life of the pregnant woman that can only be averted by a termination of her pregnancy.(7) Notification in the form and manner prescribed by the Minister of the outcome of the committee’s review shall be given to(a) the woman who made the application and if applicable the person who made the application on her behalf and(b) the Executive.(8) A medical practitioner may not be a member of a committee established and convened under subhead (5) to review a case where he or she has previously been consulted by the woman who is the subject of the application in relation to whether there is a real and substantial risk of loss of her life that can only be averted by a medical procedure in the course of which or as a result of which unborn human life is ended.Page 14 30/04/2013Explanatory NotesThe establishment of a formal framework providing for an accessible, effective and timely medical review mechanism is one of Ireland’s obligations under the judgment in A, B and C v Ireland. This formal review pathway is in addition to and not in substitution for the option of the woman seeking a second opinion as with normal medical practice.The European Court of Human Rights in this judgment emphasised the necessity for a review mechanism in cases in which there is a difference of medical opinion as to whether a woman requires an abortion or when the woman disputes the medical diagnosis. The Court stated that there must a be ‘framework’ whereby‘…any difference of opinion between the woman and her doctors or between different doctors consulted, or whereby an understandable hesitancy on the part of a woman and her doctor, could be examined and resolved through a decision which would establish as a matter of law whether a case presented a qualifying risk to a woman’s life such that a lawful abortion might be performed’.2The judgment in Tysiąc v Poland is of particular relevance in setting out the detailed requirements envisaged by the Court. The Court indicated that a right to legal abortion must be supported by procedural safeguards to ensure the law is correctly applied, and the need for such safeguards is particularly acute in cases where there is a disagreement as to whether the preconditions for a legal abortion are satisfied.The Court stated that ‘in such situations the applicable legal provisions must, first and foremost, ensure clarity of the pregnant woman’s position’3. It continued‘In this connection, the Court reiterates that the concepts of lawfulness and the rule of law in a democratic society command that measures affecting fundamental human right be, in certain cases, subject to some form of procedure before an independent body competent to review the reasons for the measures and the relevant evidence… In ascertaining whether this condition has been satisfied, a comprehensive view must be taken of the applicable procedures.. In circumstances such as those in issue in the instant case, such a procedure should guarantee to a pregnant woman at least the possibility to be heard in person and to have her views considered. The competent body should also issue written grounds for its decision.In this connection the Court observes that the very nature of the issues involved in decisions to terminate a pregnancy is such that the time factor is of critical importance. The procedures in place should therefore ensure that such decisions are timely so as to limit or prevent damage to a woman’s health which might be occasioned by a late abortion.’4In light of the above it would appear that the review mechanism put in place must have, inter alia, the following attributes. It must be: independent, competent to review (i) the reasons for the decision and (ii) the relevantevidence, the procedures should include the possibility for the woman to be heard it should issue written opinion decisions must be timely.2 A, B and C v Ireland at paragraph 253. 3 Tysiąc v Poland at paragraph 116.4 Tysiąc v Poland at paragraph 117.Page 1530/04/2013The aim of Head 6 is to make provisions to fulfil the judgment’s requirement to set up a formal mechanism to allow a woman to seek a review of her case. The purpose of the review committee is to provide a formal mechanism to review the clinical assessment made by the original treating doctor or team to the effect that a woman does not require a termination in line with the X case criteria, or when she has been unable to obtain an opinion in this regard. A duty is placed on the relevant medical practitioner to inform the woman of this formal review option in subhead 1.Subhead 2 clarifies that recourse to the formal review process should usually be at the request of the woman only but may be initiated on her behalf with her consent. It should also be noted that the intention of the Bill is to confer procedural rights on the person most centrally involved, namely a woman who believes she has a life-threatening condition, so that she can have certainty as to whether or not she requires this treatment. Conferring these procedural rights upon her does not deprive any other person of any right they may enjoy and any person who believes they may have a right to take action will be free to exercise their right of access to the courts to challenge a decision which they believe to be wrong.Subhead 3 provides for the HSE to establish a panel of relevant experts for the purposes of a formal medical review. Members will be nominated by the Institute of Obstetricians and Gynaecologists, the Irish College of Psychiatry, the Royal College of Surgeons in Ireland, and the Royal College of Physicians of Ireland. The HSE will draw from this panel when it needs to establish a review committee to consider an application made under this Head.Subhead 4 provides that the HSE must appoint one or more of its employees to act as a Convenor of the formal review process.Subheads 5 and 6 provide for a response to occur in a timely manner when a request for a medical review is received.Subhead 8 is intended to ensure that a doctor who has already given an opinion on the case or has been consulted by the pregnancy woman in regard to the case cannot be part of the review of that case.Page 16 30/04/2013Head 7 Review where risk arises from physical illness, not being a risk of self destruction(1) In the case of a pregnant woman who believes there may be a real and substantial risk of loss of her life other than by way of self-destruction, a committee established by an authorised person shall consist of an obstetrician/gynaecologist who must be employed at an appropriate location and one medical practitioner who is registered on the Specialist Division of the register of medical practitioners established under section 43(2)(b) of the Medical Practitioners Act 2007 under a relevant specialty.(2) As soon as possible but no later than 7 days after receiving a completed written application in accordance with subhead 7(2), an authorised person referred to in subhead 7 (4) shall establish and convene a committee drawn from the panel established and maintained by the Executive under subhead 7(3).(3) As soon as possible but no later than 7 days after having been convened in accordance with subhead (5), the committee shall review the case and shall form an opinion in good faith as to whether or not there is a real and substantial risk of loss of life of the pregnant woman that can only be averted by a termination of her pregnancy.(4) Notification in the form and manner prescribed by the Minister of the outcome of the committee’s review shall be given to(a) the woman who made the application and if applicable the person who made the application on her behalf, and(b) the Executive.(5) Where a committee referred to in subhead (1) forms an opinion referred to in head 2, the committee shall jointly certify this opinion in the form prescribed by the Minister and the certifying obstetrician/gynaecologist shall make arrangements for the procedure to be carried out in an appropriate location.(6) The procedures set out in this Head are without prejudice to Head 3, which shall apply where there is a material deterioration in the health of a pregnant woman such that there is an immediate risk of loss of her life other than by way of self destruction, and thereupon the provision of Head 3 shall apply irrespective of review procedures which are in train.Page 17 30/04/2013Head 8 Review in case of risk of loss of life through self-destruction(1) In the case of a pregnant woman who believes there may be a real and substantial risk of loss of her life arising from self-destruction the committee shall consist of one obstetrician/gynaecologist who must be employed at an appropriate location and two psychiatrists both of whom shall be employed at a centre which is registered by the Mental Health Commission and one of whom shall be employed at an appropriate location.(2) As soon as possible but no later than 7 days after receiving a completed written application in accordance with subhead 7(2), an authorised person referred to in subhead 7 (4) shall establish and convene a committee drawn from the panel established and maintained by the Executive under subhead 7(3).(3) As soon as possible but no later than 7 days after having been convened in accordance with subhead (5), the committee shall review the case and shall form an opinion in good faith as to whether or not there is a real and substantial risk of loss of life of the pregnant woman that can only be averted by a termination of her pregnancy.(4) Notification in the form and manner prescribed by the Minister of the outcome of the committee’s review shall be given to(b) the woman who made the application and if applicable the person who made the application on her behalf and(b) the Executive.(5) Where a committee referred to in subhead (1) forms an opinion referred to in head 4, the committee shall jointly certify this opinion in the form prescribed by the Minister and the certifying obstetrician/gynaecologist shall make arrangements for the procedure to be carried out in an appropriate location.Page 18 30/04/2013Page 19 30/04/2013Head 9 General provisions for Committee(1) A committee established under head 6 to review a case, or an authorised person at its request, may direct in writing any relevant medical practitioner to produce to the committee any document or thing in his or her possession or control that is specified in the direction.(2)The committee or an authorised person at its request may direct in writing any medical practitioner to attend before it on a date and at a time and place specified in the direction.(3) At her request, the committee shall enable(a) a woman who has made an application or on whose behalf an application has been made, or(b) a person on her behalf,to be present at a meeting of the Committee to present her case to the committee. (4) A person who –(a) having been directed under subhead (2) to attend before the committee without just cause or excuse disobeys the direction,(b) fails or refuses to send any document or things legally required by the committee under subhead (1) to be sent to it by the person without just cause or excuse,shall be guilty of an offence and shall be liable on summary conviction to a class C fine (not exceeding €2,500).(5) Summary proceedings for an offence under subhead (3) may be brought and prosecuted by the HSE.(6) A member of a committee established under head 6(5) shall be paid by the Executive out of funds at its disposal, remuneration and allowances for expenses, if any determined under subhead (8) .(7) A medical practitioner who attends a review committee under subhead (2) shall be paid by the Executive out of funds at its disposal, remuneration and allowances for expenses, if any determined under subhead (8).(8 ) With the consent of the Minister for Public Expenditure and Reform, the Minister may determine the remuneration and allowances for expenses, if any, payable to members of a review committee and medical practitioners attending a review committee under subhead (2).Explanatory NotesHead 9 aims to empower the review committee to obtain whatever manner of clinical evidence it requires to reach a decision, and to call any relevant medical practitioners to give evidence in person and to vindicate a woman’s right to present her case at the meeting of the Review Committee or someone authorised on her behalf. The wording in this head has been adapted from the Mental Health Act 2001. The penalties for not complying with any direction issued by the Review Committee have also been adapted from the Mental Health Act 2001 and the corresponding penalties for not complying with directions issued in relation to a mental health tribunal contained therein. It is intended that bringing of prosecutions in this regard would be a matter for the HSE.Page 20 30/04/2013Head 10 Formal medical review reports to Minister(1) The Executive shall in each year, at such times and in such manner as the Minister may determine, provide the Minister with a general report on applications made during the previous year indicating(a) the total number of applications received(b) the number of reviews carried out(c) in the case of reviews carried out, the reason why the review was sought (d) the outcome of the review and(e) any other information specified by the Minister.Explanatory NotesHead 10 provides that the Executive will have a duty to report annually on the workings of the formal medical review process to the Minister. This information is required to monitor the implementation of the legislation to ensure that the principles and requirements of the system are being upheld. Furthermore, if it were to transpire that all terminations that had taken place had gone through the formal review process, this might indicate that further guidance is required from the professional bodies.Page 21 30/04/2013Head 11 Notifications(1) The person in charge of an appropriate location or other establishment, at which a medical procedure permitted under this Bill is carried out, shall keep a record in the form and manner prescribed by the Minister.(2) Where a medical procedure permitted under this Bill has been carried out, the person carrying on the business of the premises at which the procedure is carried out, shall, no later than 28 days after the medical procedure has been carried out, notify the Minister of the such procedure and such notification shall include any information as maybe prescribed for this purpose.(3) No notification under this head shall give the name or address of the woman in respect of whom the termination was carried out.(4)The Freedom of Information Act 1997 shall not apply to any record under this head.Explanatory NoteThere is a need to keep records on the terminations carried out and the medical reasons that gave rise to the treatment for clinical purposes. This is provided for in subhead (1). The intention is that subhead (1) will encompass all terminations carried out under the Bill including any terminations carried out in an emergency situation.Information is also required to inform policy, as well as to ensure that the principles and requirements of the system are being upheld. The Minister must receive notification of all terminations carried out under this Bill.It is not intended that the Freedom of Information Act 1997 will apply to these records.Regulation under the Bill will provide that notification of all terminations carried out under this Bill will include the following details: Location Grounds for termination Names of medical Practitioners involved  GestationPage 2230/04/2013Head 12 Conscientious ObjectionProvides that(1) Nothing in this Bill shall be construed as obliging any medical practitioner, nurse or midwife to carry out, or to assist in carrying out, a lawful termination of pregnancy.(2) Nothing in subhead (1) shall affect any duty to participate in treatment under Head 4.(3) No institution, organisation or third party shall refuse to provide a lawful termination of pregnancy to a woman on grounds of conscientious objection.(4) In the event of a doctor or other health professional having a difficulty in undertaking a required medical procedure, he or she will have a duty to ensure that another colleague takes over the care of the patient as per current medical ethics.NotesArticle 9(1) of the European Convention on Human Rights states that: “everyone has the right to freedom of thought, conscience and religion…’. An individual’s right to conscientious objection is provided for in most ethical guidelines and has existed with good reason for many centuries. The Medical Council Ethical Guidelines state:’10.2 If you have a conscientious objection to a course of action, you should explain this to the patient and make the names of other doctors available to them.10.3 Conscientious objection does not absolve you from responsibility to a patient inemergency circumstances.’5Similarly, the Code of Conduct for each Nurse and Midwife makes reference to anentitlement to conscientious objection that may be relevant to professional practice6.However, an individual’s right to conscientious objection is not absolute and often has limitations. This is because the right to conscientious objection must be balanced against someone else’s competing rights, for example, the right to life in the case of a medical emergency. The balance is reflected by the provisions of the European Convention on Human Rights in which freedom of conscience is qualified by Article 9(2), “Freedom to manifest one’s religion or beliefs shall be subject only to such limitations as are prescribed by law and are necessary in a democratic society in the interests of public safety, for the protection of public order, health or morals, or for the protection of the rights and freedoms of others”.Subhead 1 provides a right to conscientious objection but clarifies that this right only applies to medical and nursing personnel and pharmacists. It is adapted from section 3 of the Twenty-fifth Amendment of the Constitution (Protection of Human Life in Pregnancy) Bill 2001 as passed by Dáil Éireann. The effect of this provision is that a medical or other health professional will not be obliged to carry out a procedure to which he or she has a conscientious objection, even though it may not constitute an offence under the Bill. In the event of a doctor or other health professional having a difficulty in undertaking a required medical procedure, he or she will have a duty to ensure that another colleague took over the care of the patient as per current medical ethics.5 Medical Council: 2009, pg. 16. 6 An Bord Altranais, 2000.Page 23 30/04/2013Subhead (3) refers to the fact that the right to conscientious objection is a human right and, as such, applies only to individuals and not institutions.Page 24 30/04/2013Head 13 Travel and Information(1) This Act does not limit freedom to travel between the State and another state or freedom to obtain or make available in the State, in accordance with conditions for the time being laid down by law, information relating to services lawfully available in another state.(2) This Act does not operate to restrict any person from travelling to another state on the ground that his or her intended conduct there would, if occurred in the State, constitute an offence under head 19 of this Act.NotesIt was decided to include the subheads above ‘for the avoidance of doubt’.Subhead 1 reaffirms the freedom to travel and freedom to information which the People voted to insert into Article 40.3.3 of the Constitution in 1992. The Thirteen and Fourteenth Amendments to the Constitution added a second and third paragraph to Article 40.3.3 of the Constitution so as to ensure that the Article would not be invoked in order to limit either freedom to travel to another state or to obtain or make available, in the State, subject to such conditions as may be laid down by law, information relating to services lawfully available in another state.Subhead 2 provides that the Bill does not restrict a person from travelling to another state on grounds that their conduct would be illegal, if it occurred in Ireland. Its intention is to address any concerns that a person could be prevented from travelling outside the State to have an abortion, on the grounds that such an abortion would not be legal in Ireland.Page 25 30/04/2013Head 14 Regulations(1)The Minister may make regulations that the Minister considers necessary or expedient for purposes under this Act.(2) Without limiting the generality of subhead (1), the Minister may make regulations – (a) for any purpose in relation to which regulations are provided for in this Act, (b) prescribing any matter or thing referred to in the act as prescribed or to beprescribed, and(c) generally for the purpose of giving effect to this Act.(3) A regulation under this head may contain such consequential supplementary and ancillary provisions as the Minster considers necessary or expedient.NoteThis is a standard provision in regard to Ministerial powers to make regulations.Page 26 30/04/2013Head 15 Regulations respecting certification of opinions referred to in this Act(1) Without limiting the generality of head 14, the Minister shall make regulations(a) respecting the written form and manner in which an opinion referred to head 2, 3 or 4, and(b) respecting the notification where the review committee is not of the opinion referred to in head 2 or 4.(2) Without limiting the generality of subhead (1), regulations under paragraphs (a) and (b) of that subhead shall specify that certifications shall indicate the clinical reason or reasons for the opinion referred to in head 2, 3 or 4.Explanatory noteThis head requires that certain regulations must be made. Under heads 3 and 19, a termination of pregnancy is not an offence where two or three relevant medical practitioners, as specified, have certified that in their reasonable opinion there is a real and substantial risk of loss of life of a pregnant woman and this risk can only be averted by the termination of her pregnancy. In an emergency situation, (head 3) a termination is not an offence when carried out by a medical practitioner when he or she is of the reasonable opinion that the procedure is immediately necessary to save the life of the pregnant woman. This does not apply in situations where the threat to life arises from self destruction. The Minister will be required to make regulations prescribing the form and manner in which these opinions are to be certified by the relevant doctors, or by the doctor acting in an emergency. Regulations will require certificates to indicate the clinical grounds (physical / self-destruction) for the opinion.The Minister will also be required to make regulations regarding the notification to be given where the review committee is not of the opinion that there is a real and substantial risk of loss of life to a pregnant woman that can only be averted by the termination of her pregnancy.Page 27 30/04/2013Head 16 Regulations respecting notifications to the Minister(1) Without limiting the generality of head 14, the Minister shall make regulations respecting the form and manner information is notified to the Minister under head 10.Page 28 30/04/2013Head 17 Laying of regulations before Houses of the Oireachtas(1) The Minister shall ensure that every regulation made by the Minister under this Act other than an order under head 11 is laid before each House of the Oireachtas.(2) Either House of the Oireachtas, by resolution passed within 21 sitting days after the day on which a regulation is laid before it under this head, may annul the regulation.(3)The annulment of a regulation under subhead (2) takes effect immediately on the passing of the resolution concerned, but does not affect the validity of anything done under the regulation before the passing of the resolution.NoteThis is a standard provision in relation to regulations.Page 29 30/04/2013Head 18 Repeal and Consequential AmendmentsProvide that(1) Sections 58 and 59 of the Offences Against the Person Act 1861 are hereby repealed.NotesThis head provides for the repeal of Sections 58 and 59 of the Offences Against the Person 1861 Act, as they are replaced by the provisions in Head 2 of this Bill.Section 58 provides for an offence of unlawfully using drugs or instruments to procure a miscarriage. Section 59 provides for an offence of unlawfully supplying or procuring poison or instruments for the purpose of procuring a miscarriage.In so far as we are aware there is no extant common law offence of abortion which requires abolition.The need for consequential amendments is being considered. Section 19 of the Health (Family Planning) Act 1979 provides inter alia that nothing in the 1979 Act shall be construed as authoring the procuring of an abortion, or the doing of any other thing the doing of which is prohibited by section 58 or 59 of the 1861 Act. The reference to the 1861 Act will require amendment to refer to the current piece of legislation.Additional subhead being prepared in regard to consequential amendmentsPage 30 30/04/2013Head 19 OffenceProvide that(1) It shall be an offence for a person to do any act with the intent to destroy unborn human life.(2) A person who is guilty of an offence under this head is liable on conviction on indictment to a fine or imprisonment for a term not exceeding 14 years or both.(3) Where an offence under this Act—(a) is committed by a body corporate, by a person purporting to act on behalf of a body corporate or by an individual or an unincorporated body of persons, and(b) is proved to have been committed with the consent or approval of, or to have been attributable to any neglect or connivance on the part of, any person who, when the offence was committed, was—(i) a director, member of the committee of management or other controlling authority of the body concerned, or(ii) the manager, secretary or other officer of the body concerned,that person shall also be deemed to have committed the offence and may be proceeded against and punished accordingly.(4) A prosecution for an offence under this head may be brought only by or with the consent of the Director of Public Prosecutions.Explanatory NotesThis section restates the general prohibition of abortion in the State in clear, modern terms. It seeks to bring legal clarity to the existing situation; it does not confer any new substantive rights to a termination of pregnancy. Its provisions will replace and update those in sections 58 and 59 of the Offences against the Person Act 1861.Subhead (1) protects the right to life of the unborn by prohibiting any act that would intentionally destroy unborn human life in a pregnant woman.Penalties are provided for in subhead (2). There is a penalty of up to 14 years in prison or an unlimited fine, or both, for a person who intentionally performs or effects an abortion. Due to the gravity of the crime a maximum of 14 years in prison is considered an appropriate penalty. Other offences subject to a maximum of 14 years include the offence of assisting the commission of a suicide (Criminal Law (Suicide) Act 1993), and assaults causing serious harm (section 4 of the Non-fatal Offences against the Person Act 1997).The penalty of up to 14 years imprisonment may apply to any person, including the pregnant woman. While it is recognised that the potential criminalisation of a pregnant woman is a very difficult and sensitive matter, this provision reflects the State’s constitutional obligation arising from Article 40.3.3. It would also be inequitable to have, as a matter of course, a significant penalty for the person performing a termination but none at all for the woman undergoing the procedure. The sentence to be applied in any particular case is a matter for the Court involved.Page 31 30/04/2013The offence applies to an individual and to a body corporate or company. In addition, in the case of a company or body corporate, subhead (3) provides for offences by directors and members of the committee of management or other controlling authority of the body concerned, or the manager, secretary or other officer of the body concerned.Subhead (4) provides that a prosecution may be brought only by or with the consent of the Director of Public Prosecutions. This is to ensure that frivolous or mischievous cases cannot be brought before the Courts.Page 32 30/04/2013Head 20 Commencement – with short title(1) This Act comes into operation on such day or days as the Minister may appoint by order.(2) Different days may be appointed under this head for different purposes or different provisions of this Act.NoteThis head is included on the assumption at this stage that the Act is not to come into force on enactment.Page 33 30/04/2013IN FULL: GOVERNMENT PUBLISHES PROTECTION OF MATERNAL LIFE DURING PREGNANCY BILL was last modified: April 30th, 2013 by BrendaShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)Tags:IN FULL: GOVERNMENT PUBLISHES PROTECTION OF MATERNAL LIFE DURING PREGNANCY BILLlast_img read more

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SHOWERS, COOLER: THE DD THURSDAY WEATHER REPORT WITH THE MOUNT ERRIGAL HOTEL

first_imgDONEGAL Daily Weather Report, in association with The Mount Errigal Hotel, Letterkenny, Tel 07491 22700. It’s CupCake Thursday, Free Glass of Wine and Free Cupcake today.Today’s Donegal Weather: After a couple of glorious weeks, our weather is turning cooler and wetter on Thursday.Temperatures should reach no more than 11C or 12C today as cloud and showers return more frequently throughout the day, though once again west Donegal will escape the worst of it. Light rain after dawn will turn heavier by mid-morning. However most showers will clear the county by the afternoon and evening.It will remain dull for the rest of the day but will be mainly dry.Thursday’s weather however is a mere blip. Friday is looking brighter and Saturday much better. Temperatures will slowly rise over the weekend again with next week looking fine and sunny.IT’S CupCake Thursday at the Mount Errigal Hotel. FREE Glass of Wine and a FREE CupCake for all the ladies when you order any Josper grill inspired main course at Dexters today.  SHOWERS, COOLER: THE DD THURSDAY WEATHER REPORT WITH THE MOUNT ERRIGAL HOTEL was last modified: May 1st, 2014 by John2Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:Donegal Dailyweatherlast_img read more

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MORE THAN 600 PEOPLE SHOW THEIR SUPPORT FOR DLDC AT EMERGENCY MEETING

first_imgLiam Mailey, Convoy gave a heart-felt talk for the benefits of DLDC over the years in Donegal. at the emergency meeting in Stranorlar.Pic by Brian McDaid.More than six hundred people turned out in force to show their support for Donegal Local Development Company Ltd. (DLDC) and community–led development at a Public Meeting in the Finn Valley Centre, Stranorlar last night.John Keon, independent Chair for the Public Meeting (formerDonegal Creameries CEO), explained that the event was organised in recognition of some insecurity for the future of DLDC and its staff. As part of the Government reforms in 2014, a new structure, is being established ‘Local Community Development Committee’s (LCDC’s) under the auspices and control of the administrators of the Local Authorities in Ireland.The proposed local government reforms will firstly see the two core programmes, namely The Local and Community Development Programme and LEADER which have beendelivered for almost twenty years by Local Development Companies, transfer in the main to the LCDC’s.Frank Kelly from DLDC informed those in attendance that local communities should now consider if the proposed new structure will be the most effective way to deliver programmes based on local issues and local needs.He explained that the aim of the meeting was to inform communities and citizens about how the proposed changes might impact on them and to consider how the services offered by DLDC can continue to be supported and retained. Representatives from groups from all over Donegal showed their support for Donegal Local Development at the Finn Valley Centre on last night.Community key speakers on the night who showcased their community projects included; Liam Mailey from Convoy Community and Enterprise, Fiona O’Shea from Killybegs Cruise Ship Information Centre, Ann Sheridan from Jigsaw, Mary McGrenra from Craoibhín – Grass Routes and PatsyMcGonigle from Finn Valley Centre.Chair John Keon highlighted the proposed changes and hisgrave concerns that the existing link between the community and Local Development Companies like DLDC could be severed forever, with the loss of skills and expertise built up over many years. This scenario would have a significant negative impact on your local community.Liam Mailey, representative from Convoy Community expressed his gratification to DLDC in relation to supports that Convoy has received from DLDC to date, including dedicated Tús and RSS scheme participants and funding received from RDP Leader. He also stated that ‘without the support from DLDC, Convoy would not be looking as good as it is now, long live DLDC!’Killybegs Cruise Ship Information Centre also expressed their support, representative Fiona O’Shea gave an overview of supports received.Mary McGrenra, from Craoibhín thanked DLDC for the support they received to help set up their Grass Routes Project.Patsy McGonigle from Finn Valley Centre, thanked DLDC and stated that ‘DLDC are all about community and have given the Finn Valley area great support and a fantastic community centre’. A number of local Councillors also publically pledged their support to the company.The Chairperson gave the audience the opportunity to voice their views. Concerns were echoed throughout the room regarding the loss of DLDCs supports and services which arepresently being provided by dedicated and experienced staff.Fionula Brennan from Donegal Womans Network expressed her concerns about reform and empathised with DLDC as they too are extremely concerned for their services and supports which are delivered throughout Donegal.Winston Patterson, former Chairman of International Fund for Ireland and Chairman of the Donaghmore Hall Committee highlighted ‘If it isn’t broke don’t fix it.’ Many others followed with the same sentiment including Siobhan Mc Laughlin who spoke of her experience in her role as secretary of DLDC. John Quinn and Molly Reynolds, both former Chairman and Secretary respectively also echoed similar sentiments. Over the last three decades, Donegal Local Development Company Ltd and local voluntary community groups in Donegal have worked successfully together to combat disadvantage through the delivery of a variety of programmes.Through this partnership, DLDC has provided direct assistance that has;•Enabled communities to develop facilities and local development programmes•Helped and provided employment to the long-term unemployed•Combated social exclusion and poverty•Assisted businesses and people in creating jobs and enterprise in their local community•Provided training and educational programmes to up-skill individuals and community groupsUnder the existing structure numerous local development programmes have been delivered throughout the county. In almost every village and town throughout Donegal, communities continue to avail of one or more of the following programmes in partnership with Donegal Local Development Company: Rural Social Scheme, Tús, Local and Community Development Programme inclusive of Back to Work Enterprise Scheme, Donegal Volunteer Centre, Leader/RDP, The Rural Recreational Walks Programme, CE Childcare Programme, Job Club and Jobs Initiative.DLDC Chairman, Jim Slevin closed the event thanking everyone for turning out in such big numbers and reminded everyone of DLDCs Mission Statement ‘Working in Donegal towards a better future for all.’ He encouraged everyone to show their support for their Local Development Company by signing the online petitionhttp://www.ipetitions.com/petition/support-local-development-companiesThis online petition is aimed at ensuring that the decades of experience Local Development Companies have is not lost and that they can continue to deliver services to their communities. ‘Please pledge your support to DLDC and other LDCs to ensure local communities continue to receive the supports they need and deserve.’MORE THAN 600 PEOPLE SHOW THEIR SUPPORT FOR DLDC AT EMERGENCY MEETING was last modified: May 14th, 2014 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)Tags:Donegal Local Development Companylast_img read more

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