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Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: I will put my other questions then. Why has Ireland never reached the 1.8% average high-grade detection rate that other countries reached, particularly as this incidence of cancer here is higher than anywhere else in Europe? Will the witnesses explain the other screening programmes? MedLab Pathology claims, in its own propaganda and publicity material, that it has the contract for the...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: I do not think I asked anything that has already been answered.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: I was referring to the fact that over the ten years we never reached the 1.8% average rate that other countries did yet we have a higher instance of cervical cancer. If we are getting lower detection rates back but getting a higher number of actual diagnoses, did Dr. Holohan not flag a problem over the ten years?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: Why did we not reach the average other countries reached?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: That was only in one year. That was the first year. However, while it did go up in subsequent years and hovered around a rate of 1.4%, it never went up to a rate of 1.8%. That is a significant difference in average from other countries that do the test differently. I refer to our nearest neighbour, the National Health Service, NHS, for example.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: Some women waited seven years for the results.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: Would Mr. O'Brien just answer the question as to whether every slide is looked at by two technicians.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: The witness is satisfied every single slide is?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: We will hear about it ourselves then.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: This is a really important point of order. Mr. O'Brien has said that the cervical screening is only 70% accurate, that is really serious. When I checked the website it says there is a small risk.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: Sorry it is extremely important for that to be clarified Chair because there is a 30% risk that a test does not mean anything. That is not accurate, the witness is trying to backpedal.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: The website said there is a small risk, not a 30% risk.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: Can the witness clarify what the detection rate of this screening is?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: No it has not Chair.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: It is 70%.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: That is not 30% which the witness said earlier.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: -----may not be accurate.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: It does not say 70%.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: Something important has just come up that the Chair should be concerned about in his capacity as Chair of the process.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Ruth Coppinger: Yes.

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