We've been fortunate to have that power now for 40 years. Our legislation actually dates from 1980. We celebrated 40 years last year of the office. I'd say some of the most important work the office has done has been through own-initiative reports. I'd like to give you a quick example of one that we did recently. I came into office three years ago, and I noticed the number of complaints we had in relation to treatment abroad schemes. There are three treatment abroad schemes here whereby people, if the medical treatment isn't available here or if they have to wait too long, can have it done in another EU country or indeed in the UK.
This is particularly pertinent to us because we have a border on the island and some people just travel north to have their treatment done. But they were meeting a very bureaucratic situation in terms of having the refunds done—things like, for example, they were being refused the reimbursement because the doctor didn't sign the referral. The referral came from the doctor but somebody on his or her behalf PP-ed the letter of referral.
We had another instance whereby one person travelled to have a hip replacement, had the hip replacement, paid €11,000 for it—sorry, her sister travelled with her, the person didn't have the money, so her sister very kindly paid the money. When she came back, she was told, 'No, you should have paid, not somebody else.' I could go on about the bureaucracy of the scheme, and we found this was completely unacceptable.
So, I decided to do an own-initiative investigation into this. I take Margaret's point that they can take some time, but actually sometimes they can be very quick. I'll come back maybe to the consultation in a minute. Maybe not having to do such wide consultation allows us sometimes to be quite nimble. We did our investigation. We made 18 recommendations to the Health Service Executive here. We made three recommendations to the Department of Health. I have to say both accepted all of the recommendations, and the HSE implemented the recommendations in exactly the spirit we would have wanted them to.
So, all of the people that had complained to us got their reimbursement, but to me, every bit as important is that now the scheme is running with a patient-centred approach and it is running completely differently than it was before. We're not receiving any complaints, and I think this is important. Again, Margaret talks about, rightly, the investment that goes into these investigations, but, in fact, it can often pay off, because we now receive no complaints about the scheme. There are people out there in Ireland who are now benefiting from the work that this office has done and they may not even know that the office exists. When they go to access these schemes now, they are far, far better.
Last week you had a conversation, I think, about the RIA, and I think there was a suggestion that your complaints should reduce if you have this facility, this power. I'm not sure that's the case. Your complaints in the area where you've done the own-initiative should reduce, but, of course, all of our public services are now expanding. We'd hope people get to know more about our office. So, the way I view this is it gives you the opportunity to deal with an area comprehensively, reduce the complaints from that area and maybe focus then on another area.