Oireachtas Joint and Select Committees

Thursday, 8 November 2018

Public Accounts Committee

Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation

9:00 am

Mr. Damien McCallion:

We had a half-day with them one Saturday to work through the pressures. We are looking at the overall impact through our women and infants group. The colposcopy service is crucial. In any screening service, there is smear-taking, the screen, and diagnosis and treatment, where colposcopy comes in. They are getting much pressure through increased referrals from general practice due to the throughput in screening. There is a process to assess the impact. When we move to working with HPV, there will initially be a significant increase in referrals to colposcopy which will then level off and reduce over years. We need to take a full view of that as a service. It is an important service for hospital-based terminations. We need to look at all the pressures that service is under. The process to assess it is starting through the women and infants programme because there is no question that there is a need to invest in that service to meet all the demands.

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