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Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: Dr. Scally talked about open disclosure and the need for legislative underpinning. I absolutely welcome that. People had the opportunity to vote for that twice in the recent past. They did not do so but the unfortunate events we are discussing will, I hope, put a bit of focus on open disclosure. It is regrettable that it will take legislative underpinning to make it happen but if it does,...

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: In the absence of that information, is it not somewhat premature to express confidence in the process?

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: Until 2013, there was no evidence that CPL was outsourcing, but it was. There is a lot we do not know.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: None of those inquiries was made by the CervicalCheck service or the HSE. There is no documentary evidence that anyone asked a direct question, even if they were only getting a partial answer.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: I was trying to say that I am sorry that legislation is required to force some clinicians and doctors to comply, which reflects poorly on them. However, if it is necessary, it should be done. I am also sorry that some Deputies voted against such legislation. However, they will probably vote in favour of it the next time it is brought forward, which is to be welcomed.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: It is quite succinct.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: I thank Dr. Scally.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: On page 59 of the report there was a reference to accreditation. As someone who uses the service, I find it outrageous that we are only asking these questions now. I understand that Dr. Denton will compare CAP accreditation with ISO accreditation. Did I hear Dr. Scally correctly?

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: I do not mean to be disrespectful to the witnesses when I say that this is shutting the stable door after the horse has bolted.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: I fully respect that. The report states: "Both laboratories do have CAP (College of American Pathologists) accreditation which they view as being equivalent." Is it written down anywhere that people in the HSE viewed it as equivalent? Did anyone in the HSE or the CervicalCheck service bother to run a slide rule over it to see if the accreditation was the same, equivalent, different or...

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: -----even when they visited that they did not ask to see the accreditation? I worked for a company years ago and the firm secured an ISO 9000 accreditation. I recall the huge amount of books, manuals and protocols that staff had to adhere to in order to get the accreditation. Did Dr. Scally find evidence that accreditation was sought or that questions were asked about it? Did people just...

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: What about slides that might go today? Has anybody looked in the intervening time? That is important to know as everyone in the media is focusing their attention on this matter, there has been an outcry and what is happening today will also put a focus on this matter. Is Dr. Denton saying that nobody in the HSE or the screening programme has begun the process of even considering what CAP...

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: There is no scope for us to recoup any of the money that was given because the contract was signed on the basis that the laboratory would be ISO 15189 accredited. Do the witnesses understand my concern?

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: People come to my office and ask me whether I have faith in the programme. I respond by telling them that I am 100% sure that screening saves lives, that I have seen it with my own eyes and know that it save lives. Given that we are here discussing this matter and there has been an awful lot of attention on the screening programme the HSE is only now moving to acquire accreditation. The...

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: Plus nobody thought to follow this up.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: It is an awful pity that nobody looked at that at the time.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: Securing accreditation takes ages.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: The HSE should have determined that CAP was equivalent but it has not.

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: Dr. Scally has talked to a lot of people. I understand that there was issues with getting documentation from the HSE. Believe me, as someone who has dealt with the HSE, I was that soldier. One could sing it if one had an air to it. I know sometimes that it can be difficult to get information from the HSE. In the course of Dr. Scally's discourse with the HSE, did he get the impression,...

Joint Oireachtas Committee on Health: Scoping Inquiry into the CervicalCheck Screening Programme: Discussion (10 Oct 2018)

Louise O'Reilly: Fair enough.

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