Oireachtas Joint and Select Committees

Wednesday, 23 May 2018

Joint Oireachtas Committee on Health

Cancer Screening Programmes: Discussion

9:00 am

Dr. Irene Regan:

A number of outcomes can come from that audit. We have been talking about heat maps. They can tell us whether the error rate, or the pick up rate or whatever, is the same across all laboratories. If an error rate is consistent across all laboratories - on a ratio basis because some are doing more tests that other - we would see that one of the outcomes and conclusions could be that this is a limitation of the cervical screening test. We talked about specificity and sensitivity. However, if there is a cluster or many of those errors are being found in one place at one particular time, then it would warrant analysis. It could be seen as a systematic failure. I am not suggesting it is but we need the heat map and we need to know where the errors are happening. We do not have that information so we cannot judge it. Deputy Kelly said it is out there but it is not and it is very important we have it. We will then be able to see and judge what is happening. I hope that I have adequately answered that part of the question.