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

Kate O'Connell: No, no.

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

Kate O'Connell: Was it a kind of "trusted trader" thing? The accreditation body decided to trust the laboratory because it had dealt with it for years. I am trying to get to it. It is either technical or it is not. If the accreditation body is going to accredit a company - historically, retrospectively or otherwise - why would it do it in this way? Would it do so on the basis of corporate knowledge, for...

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

Kate O'Connell: Yes, we have been there. This might be our fourth time around the block on this issue. I have asked a specific question. In May 2019, the Salford laboratory appeared in the second edition of the accreditation list. I want the first edition of the list.

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

Kate O'Connell: I asked earlier for any paperwork relating to how this decision was made. It does not make sense that the accreditation body would do this. It would make sense to me if it were done all the time, because then I could say it was part of a standard approach. The accreditation body has been in operation since 1985. It seems that in the middle of a serious health crisis involving cervical...

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

Kate O'Connell: There is no point in having processes and accreditation if people are not ticking the boxes and checking. There is no point going in with one's file to do quality assurance and going off for a cup of tea. One has to go in and check. That is the job.

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

Kate O'Connell: Their job is to accredit. I cannot understand why Mr. McCallion has not been in touch with the Department of Education and Skills, which is responsible for the HSA, as I understand it. I think it falls within the remit of the Minister of State, Deputy Halligan. I cannot understand why Mr. McCallion has not been in touch with the other Department to point out that there is an issue because...

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

Kate O'Connell: Mr. McCallion is suggesting that accreditation is not so important.

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

Kate O'Connell: There is no point having a cheap, fast whatever, with the results being returned, if the standard of the basic test is not what it should be. The rest of it is pointless in that case.

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

Kate O'Connell: They repeatedly said they could not find any evidence. They never said the laboratories were all perfect and that there was no need to worry about accreditation.

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

Kate O'Connell: I understand that Dr. Scally examined the matter and stated there did not seem to be any issue with any individual screener or individual laboratory. Nevertheless, if samples were sent to a non-accredited laboratory, that is completely wrong.

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

Kate O'Connell: Since CervicalCheck was started and the contracts went out, there was first the College of American Pathologists accreditation, which has now been said to be an equivalent. In 12 years, nobody checked whether the ISOs were always up to date. I cannot understand how nobody considered it vital to go to step 2 of the process.

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

Kate O'Connell: I know. That case is worse again.

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

Kate O'Connell: Before I finish, I wish to clarify a question that I asked Mr. McCallion earlier about the bowel screening contract.

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

Kate O'Connell: I will clarify to ensure that Mr. McCallion will revert with the correct information. MedLab was awarded the tender for CervicalCheck in May 2010. The laboratory did not open until August 2010 and did not obtain ISO accreditation for cervical screening until December 2011. I want to know whether it was testing smears without accreditation before December 2011. The same company - MedLab -...

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

Kate O'Connell: I was just clarifying the question because I may not have been clear before the break.

Public Accounts Committee: Bord na gCon Financial Statement 2017 (19 Sep 2019)

Kate O'Connell: I have not been here for the witnesses before so I am not able to do the compare and contrast that others have. This vast improvement is not immediately apparent to me but I take the previous comments at face value. With regard to the doping issue, there is a lot of testing on site, at kennels and all of that. In terms of international best practice, reference was made to a machine that is...

Public Accounts Committee: Bord na gCon Financial Statement 2017 (19 Sep 2019)

Kate O'Connell: Okay.

Public Accounts Committee: Bord na gCon Financial Statement 2017 (19 Sep 2019)

Kate O'Connell: I missed that it was urine testing. In terms of international best practice, is that what other tracks are doing across the world? For human athletes, blood is normally tested. There has been a metabolic process by the time it gets to the urine so it is not as clear cut. Can Mr. Dollard tell me if his checking system is on a par with international best practice?

Public Accounts Committee: Bord na gCon Financial Statement 2017 (19 Sep 2019)

Kate O'Connell: We had them yesterday. I would not be so confident about the accreditation, but anyway.

Public Accounts Committee: Bord na gCon Financial Statement 2017 (19 Sep 2019)

Kate O'Connell: Is there any data yet to share?

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