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Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: The INAB website shows the schedule of accreditation. What Ms Burke said earlier was incorrect. It is not the organisation; it is for a specific test that the organisation will carry out. There is a distinct difference there.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Therefore, the INAB accredits the company to perform X test.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: If it wants to take on Y test it must reapply.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: In the case of the Salford lab, no one phoned the INAB to get accredited. It did not notice when it was doing its annual audit in Sandyford. The guy in Salford was operating for nine months before the second guy was taken on. It must be lucrative. When I read the report for what must have been the fifth time last night, I found out that the lab guy relocated from Sandyford to Manchester...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: That is on day one.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: That is how the INAB justified it.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: It justified it by saying that the lab in Dublin that was accredited was accredited to do that test in Dublin and therefore the INAB retrospectively deemed it acceptable that it was accredited to do it in Manchester.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: No, we have been through that.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: It was based solely on evidence.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: I would argue that the evidence in question is the evidence the board has today. If it went back, perhaps the evidence would have been different. It is an informed historical accreditation based on the documentation that the board has.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: As Ms Burke said earlier, the board "deemed" the operator to be competent.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: At that time.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: The fact is that the laboratory was not accredited through the standard or normal route. It did not apply to be accredited. It piggy-backed off its Dublin accreditation. The board did not step into that laboratory until last May.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: There were smears. The board was auditing. America is far away. Sandyford is only up the road.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Manchester is not too far away.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: I do not understand one aspect of what happened when the quality assurance people - this predates Dr. Doherty - were going over. If they had been sending off a truckload of smears to a woman in Honolulu or wherever, one might be able to see how they got away with it. I cannot understand how the accreditation body, in its official remit under the HSA, was able to go to Sandyford without...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: If someone from the accreditation body was auditing a laboratory in Sandyford or Kildare that was applying for accreditation for a new test, and he or she noticed that the laboratory had no accreditation for doing that test on behalf of the State the previous week, would that be the accreditation body's problem or would it be a matter for someone else? Does the accreditation body have a...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: No, I get all that. If the guy in Salford had not been historically accredited, what would the impact have been? What would have happened if the accreditation body had declined to provide accreditation on the basis that he did not apply for it when he opened his laboratory and he did not get in contact. If the accreditation body had said "No" on the basis that this was the first mention of...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Yes.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Okay. There is a second edition of the accreditation list on the website. Where is the first edition? I cannot seem to get it. We can see that at the time the May 2019 list was made, the Salford laboratory was accredited. The list does not say when the Salford laboratory became accredited. I know Deputy Kelly was hammering on about this earlier. If there is a second edition, there must...

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