David Cullinane (Waterford, Sinn Fein)
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I wish to make a final comment. My time is almost up. When there is a review of the existing strategy and consideration is given to framing a new strategy, screening and testing have to be front and centre. It is unacceptable that screening and testing are so minimal. As Mr. Johnson pointed out, it can be low cost and rolled out through general practice. It can also be done in a serial way at mass gatherings, as was stated. There are obvious opportunities there and that has to be part of the national strategy.

The national review of cardiac services is a matter close to my heart, if colleagues will pardon the pun, because it arose from a very high-profile campaign in the south east, where we do not have 24-7 primary percutaneous coronary intervention, PPCI, services, as those present will be aware. It is important that we have regional balance and that all areas have access to critical cardiac care. It is unacceptable that the review still has not been completed. I accept that Professor Nolan was taken away to do other work, which is fair enough, but the review is at least a year and a half in the making. It will have profound implications for cardiovascular policy in the State. In light of its importance, I again ask that the committee write to the HSE to ask about timeframes for the review and its completion.

I will leave it at that. I thank the witnesses for their presence and for raising the important issues they have brought to our attention.