A four-year-old boy who suffered a catastrophic brain injury at birth has settled his case against the HSE for a final payment of €15.5m.
Charlie Enright from Limerick had sued over the circumstances of his birth at the Midwestern Regional Maternity Hospital.
Today's settlement brings to €17.2m the total paid out. It is among the highest ever for a birth injury settlement.
The boy's parents, Caitriona and Anthony Enright, of Raheen, Ballyneety, Co Limerick, said they could now get on with their lives.
"What Charlie lost in August 2013 is priceless. No amount of money can replace it. We are happy with the settlement," they said.
Approving the settlement Mr Justice Kelly praised the Enrights and said Charlie's care was a "family affair" and the whole extended family had got together to care for "a remarkable boy".
Two years ago Charlie settled his case against the HSE with a first interim payment of €1.75m to cover his needs for two years.
The boy's mother had been admitted to the Limerick hospital at 37 weeks in to her pregnancy on 19 August, 2013.
A decision was made to induce labour after several tests were carried out. It was claimed there was a belated recognition of foetal distress as well as misinterpretation of the CTG tracing and a failure to supervise the delivery of the baby and that hyper stimulation was caused by the continued infusion of syntocinon.
After he was born, Charlie was transferred to Cork University Hospital for head cooling. An MRI scan showed evidence of intra-cranial haemorrhage.
He was later transferred back to the Midwestern Regional Hospital in Limerick and discharged home at the end of September 2013.
Caitriona Enright told the court today that Charlie was a remarkable happy little boy. "We have so much joy along with all the pain,' she told the judge.
She said when liability was admitted early in the case it eased the burden for her.
"It eased a burden and also in my head, the burden of, was it me? It became clear it was not me and I could move on a bit."
She said that in the last two years they have started to build a house specially adapted for Charlie beside the family home.
Her son's physical ability, she said had got much better and the difficulty for Charlie was he was "locked in and communication is a big problem".
She said, whether they should go for a lump sum had been discussed at length and they thought the preparation of periodic payment applications, where Charlie would have to undergo medical examinations, was putting too much strain on the family.
Mrs Enright who has taken a career break to care for her son said he is starting at the local school in September.
Approving the settlement, Mr Justice Kelly said it was very easy to understand why the parents had taken the decision to take a once and for all payment.
He said he was satisfied it was a good settlement. He said the fact that Charlie will attend the local school, where seven of his cousins also attend, will be of substantial benefit to the young boy and he congratulated the parents for arranging that.