An internal audit conducted by the Health Service Executive (HSE) into recruitment procedures for non-EU doctors has highlighted administrative compliance gaps in hospital personnel files across several Irish health regions, including facilities in Dublin and the Midlands. The audit examined recruitment documentation for doctors appointed from outside the European Economic Area (EEA) to assess adherence to mandatory pre-employment onboarding procedures. Within a sample of 20 doctor files reviewed in the HSE Dublin and Midlands region—which includes Midland Regional Hospital Mullingar, Midland Regional Hospital Tullamore, and Midland Regional Hospital Portlaoise—auditors found that six files lacked documented evidence of completed Garda vetting. Furthermore, five files did not contain records of foreign police clearance, and four contained proof of occupational health clearance. Across a broader audit sample of 40 non-EU consultants and non-consultant hospital doctors across seven hospital sites, internal auditors identified broader inconsistencies in record retention. These included missing documentation regarding English-language competency requirements and instances where overseas police clearances were out of date. Auditors stated that while standardized recruitment requirements exist, inconsistent record-keeping and incomplete onboarding files reduce assurance that all personnel fully met statutory governance requirements prior to taking up positions, creating potential regulatory and operational risks. In response to the findings, political representatives and health spokespersons called for immediate corrective measures and standardized oversight to ensure all mandatory pre-employment checks are systematically verified and archived across all public healthcare facilities.