Concerns that up to 1,000 children may have been “trafficked” to the US from the Tuam mother and baby home in “a scandal that dwarfs other, more recent issues with the Church and State” were raised by the HSE in 2012.

Concerns that death records were falsified in Bessborough Mother and Baby Home so children could “be brokered in clandestine adoption arrangements” at home and abroad were raised in an internal HSE report in 2012.