Debate contribution: Cardiac Surgery Unit: Royal Victoria Hospital

Debate contribution by Mr Mike Nesbitt on .

MLA
Mr Mike Nesbitt
Party at the time
Ulster Unionist Party
Date
27 May 2025
Type
Debate contribution (made as a minister)
Business
Question for Urgent Oral Answer
Heading
Cardiac Surgery Unit: Royal Victoria Hospital
Assembly identifier
Official Report component 4972486

Read the official Assembly record

Text

The Member asked two things, starting with whether I will publish the report and lay it in the Library. I intend to do that; absolutely. The Member also asked how it could possibly have gone on for so long. Let me assure the House that that will be a key question when I meet the chair of the Belfast Trust. It is shocking that it was happening, but it is also shocking that it happened over such a long period. On public confidence and being proportionate about the assessment of risk, the Royal Victoria Hospital is the sole provider of cardiac surgery for the whole of Northern Ireland. While the external team have made a number of recommendations to improve safety, to improve processes and, of course, to improve the culture in the unit, they have also deemed that the service is safe to continue. I want to give that assurance to anybody who is about to go for a procedure with that team at the RVH.

I thank the Member for the question. I am not aware of our having, to date, any direct talks with the relevant trade unions. The Member will know that, in this case, the Belfast Trust is the employer of the staff in the cardiac unit. We have seen the trust put in place bespoke support mechanisms for all staff to ensure that they have the opportunity to put forward their views of the challenges that the unit has faced that have been created by this unacceptable behaviour. Any unacceptable behaviour should be dealt with through human resources policies and practices. In the first instance, as I have said to the House, I need to speak to the chair of the Belfast Trust. Following that, I do not rule out engaging with the trade unions and other representatives whose voices need to be heard.

I thank the Member for his question. I believe that the number of cancelled procedures was very low: off the top of my head, I think that it was six. I think that there were reports that it was perhaps over twice that number; as I understand it, that is not the case. I am not aware of any actual direct impact on planned surgery from the report or the fact that there has been a really bad breakdown in relationships amongst senior members of that trust team.

I thank the Member for his question. I have been in post now for 363 days. I have not come across anything like this in my first year, nor have I received reports of anything similar having been carried out previously. It is rare, but it is incredibly important. As somebody who was on a waiting list for a cardiac procedure, I take Mr Donnelly's point that it is a very worrying time. The heart is a very emotive issue, as a lot of health issues are. I can only speak from my own experience. I am glad that I was blissfully unaware of any such issues, because that would have coloured my anticipation of going into the Royal for that procedure.

520 words. Text as published by the Northern Ireland Assembly.

Assessment

Not flagged

Jev’s structured answers met the documented threshold for “not flagged”.

  • Overall probability that the activity is being used to promote, exploit or escalate an identity-based controversy: 0.04 (flagging needs at least 0.70; at or below 0.30 is not flagged).
  • None of the five culture-war criteria was met (each was below 0.60).
  • Assessed as legitimate policy scrutiny (0.88).
  • No identity-based framing was identified (0.99).
  • The overall probability was at or below the not-flagging threshold.

This is an AI-generated assessment of the text, made against published criteria. It is not a finding of fact about the MLA or their intentions. The Assembly record itself is the fact.

Jev’s structured answers

Probability that each statement is true of this text (0 = no, 1 = yes). A criterion counts as met at 0.60 or above.
QuestionProbabilityMet?
Identity framing0.02No
Sectarian or communal antagonism0.02No
Cultural grievance politics0.02No
Dog-whistle messaging0.02No
Controversy escalation0.06No
Legitimate policy scrutiny0.88Yes
Overall judgement0.04At or below not-flagging threshold
Context and attribution (stance)
OptionProbability
No identity-based framing (chosen)0.99
Reports or questions it0.00
Criticises or condemns it0.01
Adopts it0.00
Subject area (top five)
SubjectProbability
No identity-related subject0.95
Disability (including neurodivergence and mental health), disabled people and disability or sickness benefits0.03
Sexism, misogyny, ageism and other equality groups0.01
Another identity-related subject0.01
Flags, emblems, symbols, names and memorials0.00

Assessed 21 October 2026 at 12:37 UTC by jev-1.13.0 (requested as typesafe/jev) under rubric 2026.10-r9, methodology 1.9.

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