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Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: Does CORU currently accredit that profession?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: Are statistics available on the delays, the numbers backed up and such?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: Presumably we could get those statistics through parliamentary questions.

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: I will ask about bowel screening. There is a national programme. Will the witnesses tell us about access to colonoscopies and the age at which people get access? Are we very much out of line with other European countries?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: That is extraordinary, that a target of 60% would be reduced. It does not seem to make any sense. Is there any best practice guidance on a European basis about what the target should be?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: That is for age.

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: What is best practice for uptake? Do we know?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: It was also mentioned earlier that the rates of cancer are increasing, partly because of a growing and ageing population. Is it possible to disaggregate those factors and look at the social and commercial determinants in the context of cancer rates? We had a session here a couple of months ago on the commercial determinants. It is an uneven contest between health messages and the commercial...

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: What is the regulatory agency or body?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: Is the HPRA the overarching body?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: I thank the witnesses for their presentations. When the first cancer strategy was established, it was headed by Professor Tom Keane, who had a direct line to the then Taoiseach if there were roadblocks. Is there any equivalent person to Professor Keane now? That key leadership role seems to be gone.

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: But there is no single person-----

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: -----in charge of driving it.

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: Clearly, funding has fallen very short of what is needed. In five of the past seven years, there was inadequate funding and there is none for this year. What does the HSE do in such circumstances? How does it escalate the issue of a shortfall in such an important programme?

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: Basically, the HSE lowers its standards and reduces the targets.

Joint Oireachtas Committee on Health: Funding and Implementation of the National Cancer Strategy: Discussion (10 Apr 2024)

Róisín Shortall: All services make a pitch for funding for the coming year. Has Dr. Henry met the Minister for Health about the implications of the lack of adequate funding for this strategy?

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