Ms Breda McMahon:

The framework just completely underestimates the disease. Very few cases can be dealt with at primary care level. As we have already mentioned, it speaks to GPs having a presumed diagnosis. However, that is not happening at the moment. We face issues at the very first hurdle because the disease is not being seen. Laparoscopic surgery is needed for diagnosis and removing the disease is the best treatment. I would say the majority of cases need to be referred on further.