Jonathan O'Brien (Cork North Central, Sinn Fein) | Oireachtas source

We now know that there was a breakdown in that. Clinicians did not inform women. Dr. Holohan and Dr. O'Keeffe said that they did not become aware of this until recent weeks, when this all came out after Vicky Phelan's case. Somebody must have been aware in those intervening periods where there was an understanding that all of the women would be informed through their clinicians. The policy was open disclosure and informing everyone. We found out when the Vicky Phelan case became public knowledge that that did not happen. There is a period there where somebody must know that that was not happening and that there was ongoing correspondence between clinicians and CervicalCheck about who was responsible or who was most appropriate to inform the women. Is there anyone in this room who was aware of those difficulties?