Published Document

HSE Formal Complaint — Patient Advocacy Mailbox

Documents displayed in this library have been explicitly marked as Published through the administrative workflow. Publication indicates intentional public availability. Publication does not certify legal status, evidential truth, or external validation.

Administrative Actions

This protected administrative action opens the existing authenticated workflow for creating a distinct canonical CDE record from this Published document.

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Document Metadata

Title	HSE Formal Complaint — Patient Advocacy Mailbox
Description	Raw MBOX export of the “Patient Advocacy” submailbox within the complete HSE Formal Complaint mailbox export. It preserves two linked message records dated between 13 and 19 June 2023: Nick Moloney’s request for advocacy assistance and the Patient Advocacy Service’s response describing its remit, its interpretation of two matters, suggested procedural contacts and its stated inability to provide further assistance. Two attachment records are preserved: the submitted PDF and a cryptographic-signature file.
Institution / Source	Patient Advocacy Service — Apple Mail export from Nick Moloney’s Gmail mailbox
Category	Email mailbox archive
Keywords	Patient Advocacy Service · HSE Formal Complaint · Your Service Your Say · advocacy request · Stage 2 · Stage 3 · Ombudsman · service remit · complaint pathway
Publication Date	2026-09-02
Document Date	2023-06-13
Document Format	MBOX Mailbox Archive
Media Type	Mailbox
SHA-256	1ec72b1e06d68a93c560dd5426e36f69baf2e6cba6a1ad8311bc42e91b35d915
Document Identifier	DOC-2026-000434
Optional Reference Identifier	Not provided

Mailbox Overview

Parsed mailbox and message metadata reflects fields contained in the preserved MBOX archive. It does not independently establish mailbox completeness, sender identity, delivery, receipt, authorship, authenticity, factual accuracy, legal status, evidential sufficiency, or external validation. Contained messages remain projections of the preserved archive unless separately admitted through Document Intake.

Detected format	MBOX Mailbox Archive
Detected MBOX variant	mboxo
Message count	2
Parsed message count	2
Warning message count	0
Unparsed message count	0
Attachment total	2
Earliest message date recorded in archive	2023-06-13T16:21:36+01:00
Latest message date recorded in archive	2023-06-19T13:48:13+00:00
Message IDs present	2
Message IDs missing	0
Exact duplicate count	0
Original-file download availability	Original .mbox download available

Mailbox Message Index

Showing messages 1-2 of 2. Page 1 of 1. Public rendering is bounded to 25 message projections per page.

Index	Date	From	Subject	To	Attachment count	Parse status	Warning indicator
1	2023-06-19T13:48:13+00:00	"Info@patientadvocacyservice" <info@patientadvocacyservice.ie>	RE: Patient Advocacy	Nick Moloney <nickdebrief@gmail.com>	0	parsed	No
2	2023-06-13T16:21:36+01:00	Nick Moloney <nickdebrief@gmail.com>	Patient Advocacy	info@patientadvocacyservice.ie	2	parsed	No

Parser warnings: No mailbox-level parser warnings were recorded.

Cases

Case relationships are represented in the Relationship Graph when case references are present in the mailbox projection.

Timeline

Chronological access remains available through the Mailbox Message Index and message dates recorded in the preserved archive.

CDE Platform Stage 38C — Live Relationship Inspector Binding

The graph is generated deterministically from published mailbox projections. CDE Platform Stage 38C binds graph-node selection to live Relationship Inspector content through one selection pathway; it does not change relationship extraction or the graph API.

Relationship Graph Theme Standard High Contrast

Relationship Graph loading.

Person Institution Email Case Reference Attachment Intake Record

Message Detail

Mailbox message index	1
Message size	14332
Contained-message digest	ce4ce2b27a2b17e4139ea72f3325a4f9d331c503f3f7e8ec096045a7f1d988c7
Source byte range	61–14393
Preview mode	in_memory
Preview truncated	No
Subject	RE: Patient Advocacy
From	"Info@patientadvocacyservice" <info@patientadvocacyservice.ie>
Sender	—
Reply-To	—
To	Nick Moloney <nickdebrief@gmail.com>
CC	—
Individual message date recorded in source	2023-06-19T13:48:13+00:00
Message-ID	<AM6PR09MB26153FFB2AE7F929CAC8425A9E5FA@AM6PR09MB2615.eurprd09.prod.outlook.com>
In-Reply-To	<D34743E5-8452-4065-ACA6-9CD0B102FDBE@gmail.com>
References	<D34743E5-8452-4065-ACA6-9CD0B102FDBE@gmail.com>
MIME type	text/plain
Attachment count	0
Parser warnings	No parser warnings were recorded.

Message Body

Dear Nick Thank you for contacting the Patient Advocacy Service. The Patient Advocacy Service is independent, free, and confidential. We provide information and support to people who want to make a formal complaint about the care they have experienced in a public acute hospital or a nursing home through the HSE 'Your Service, Your Say' (YSYS) complaints policy. This is stage 2 of YSYS which is where our remit sits. https://www.patientadvocacyservice.ie/ https://www.citizensinformation.ie/en/health/health-system/making-a-complaint-about-the-health-service-executive/ The email you sent to us was very detailed and it took some time to review it as per our remit. There appear to be two separate matters. The first matter is an historical complaint and is outside of our remit. We do not support complaints in relation to a matter subject to legal proceedings; one based solely clinical judgement; an action taken on the advice of a person exercising clinical judgment; a matter relating to recruitment or appointments; a matter relating to the Social Welfare Act; a matter subject of appeal under Section 60 Civil Registration Act 2004; a matter that could prejudice an investigation by An Garda Síochana; complaints against GP's or Chemists; GSOC or a matter that has been brought before any other complaints procedure established by law. The second matter appears to be with regard to a presentation to an Emergency Department for which you seem to have received a response and have appealed to an internal reviewer. This is stage 3 of 'YSYS. Your correspondence also shows that you engaged with the Office of the Ombudsman which is stage 4 of YSYS. Our Service would have signposted you to both stage 3 and stage 4 of YSYS. Since you have already engaged in a complaint process, a suggestion is that you consider contacting the person you were in correspondence with for stage 3 to ask for an update and timeline on their response to you. A further suggestion is that you consider contacting the person you were in correspondence in the Office of the Ombudsman for a similar update. You could ask if there is a case to be investigated and if a case officer has been assigned. The Patient Advocacy Service is an empowerment advocacy service and does not provide a representative advocacy service. The Patient Advocacy Service will not be retaining any of your details as there is no reason or need for us to do so. I am sorry that there is nothing further we can do to assist you. Regards, Mary Jacob Advocacy Team Leader If this email has been received by you in error, we would be grateful if you could immediately notify the Patient Advocacy Service by telephone 0818 293003 or by email to info@patientadvocacyservice.ie and thereafter delete this email from your system -----Original Message----- From: Nick Moloney <nickdebrief@gmail.com> Sent: Tuesday, June 13, 2023 4:22 PM To: Info@patientadvocacyservice <info@patientadvocacyservice.ie> Subject: Patient Advocacy Good afternoon, I was wondering if I could apply for advocate. I attach details for your attention. Kind regards, Nick.

Attachments

Attachments remain components of the preserved MBOX archive unless separately admitted through Document Intake.

Filename	Media type	Byte size	Disposition	Content ID	Attached message
No attachment metadata was detected for this contained message.

Mailbox Governance Boundary

Download original .mbox

Publication Provenance

Publication provenance records the administrative pathway by which this document became publicly available through CDE. It does not certify the document’s legal status, evidential truth, authorship, or external validation.

Intake date and time: 2026-09-02T11:46:05.863148Z
Intake mode: —
Streaming upload started: —
Streaming upload completed: —
Streaming validation completed: —
Streaming finalisation timestamp: —
Configured streaming limit: —
Document date: 2023-06-13
Server-detected document format: MBOX Mailbox Archive
Detected MBOX variant: mboxo
MBOX message count: 2
Outlook archive type: —
Outlook parser status: —
Outlook parser version: —
Outlook preservation complete: —
Outlook hash verification status: —
Outlook inspection complete: —
Outlook inspection timestamp: —
Outlook projection state: —
Outlook archive job identifier: —
Archive source: —
Gmail Takeout parser version: —
Gmail Takeout preservation complete: —
Gmail Takeout projection state: —
Archive source: —
IMAP acquisition timestamp: —
IMAP acquisition hash: —
IMAP preservation complete: —
IMAP projection state: —
Original filename: mbox.mbox
File size: 506896 bytes
SHA-256 digest: 1ec72b1e06d68a93c560dd5426e36f69baf2e6cba6a1ad8311bc42e91b35d915
SHA-512 digest: —
Document Identifier: DOC-2026-000434
Current lifecycle: Original lifecycle
Initial intake actor: nick
Review actor: nick
Approval actor: nick
Publication actor: nick
Review timestamp: —
Approval timestamp: —
Publication timestamp: 2026-09-02T11:49:02.539797Z
Current lifecycle state: Published
Optional Reference Identifier: —
Public presentation mode: Mailbox archive metadata, paginated message inspection, safe body previews, and original-file download
Original-file download availability: Original .mbox download available

The SHA-256 digest identifies the exact original bytes admitted through Document Intake. It supports byte-level comparison of the preserved file but does not independently establish authorship, factual accuracy, legal status, or external authenticity.

Publication Pathway

Original lifecycle

Timestamp	Previous status	New status	Actor	Note
2026-09-02T11:46:05.863148Z	Initial state	Pending Intake	nick	Document uploaded to pending intake.
2026-09-02T11:47:00.191554Z	Pending Intake	Under Review	nick	Begin review of the “Patient Advocacy” mailbox. The MBOX contains two linked messages dated between 13 and 19 June 2023 and is preserved with SHA-256 1ec72b1e06d68a93c560dd5426e36f69baf2e6cba6a1ad8311bc42e91b35d915. Review should confirm the source identity, chronology, attachments, attribution and Private visibility. Beginning review does not adopt the Service’s remit assessment or confirm that any procedural stage was formally reached.
2026-09-02T11:47:50.308625Z	Under Review	Approved	nick	Review completed and approved. The “Patient Advocacy” MBOX is preserved with SHA-256 1ec72b1e06d68a93c560dd5426e36f69baf2e6cba6a1ad8311bc42e91b35d915. Approval confirms source integrity and suitability for lifecycle progression. It does not adopt the Service’s remit assessment, verify its procedural descriptions or confirm that any complaint stage was formally reached.
2026-09-02T11:49:02.539797Z	Approved	Published	nick	Review approval recorded. Declare the “Patient Advocacy” mailbox Published. The source remains bound to SHA-256 1ec72b1e06d68a93c560dd5426e36f69baf2e6cba6a1ad8311bc42e91b35d915 and retains Private visibility. Publication preserves the reviewed mailbox within the CDE. It does not adopt the Service’s position or make the material publicly accessible.

Actor identifies the administrative identity recorded for the lifecycle action. It does not by itself establish authorship, factual verification, or legal responsibility for the document contents.