Results 21-37 of 37 for cervical segment:7113182

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

...O'Brien: Infallible. The choice was to have a screening programme, one that has since detected 50,000 high-grade abnormalities, leading to early treatment to the probable avoidance of hundreds of cervical cancers and, ultimately, deaths, or not to have it. If one wishes to hold population screening programmes to a test of infallibility, then no country in the world will do them.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Mr. Tony O'Brien: Yes, and it has always been my view that the central issue here, apart from the obviously tragic situation that individual women face when they go on to experience a diagnosis of cervical cancer, which is a very adverse diagnosis, was the failure to follow through on a plan to communicate results with women. That was the central failure in the programme.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Mr. Tony O'Brien: -----without having it in front of me. That number, in the context of 3 million cervical smear tests and 1.12 million women participating in the programme, based on what we know of the reliability and efficacy of population-based screening and as difficult and as harrowing as it is for all of the individuals concerned, is not a number that would raise fundamental concerns...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

...a test to appear normal and yet for there to subsequently be a finding of cancer leading to a review of that slide which can lead to a changed view. This is well understood in the literature of cervical cytology, which has a rate of accuracy well short of 100%.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

...McCallion: Sorry, Deputy, all programmes have an assurance process around it and each of those are set out. I am just saying that in terms of the contrast I believe the Deputy made between the cervical programme and the other programmes, there are differences in how they are approached. Clearly, the review is going to look at that to give us assurance that there are no issues in terms...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Catherine Connolly: ...issue, an isolated case and that nobody knew. We all know now. I am saying to the witness, as the chief doctor, that the message in this memo has nothing to do with difficulties with cervical smears. It concerns controlling the message and anticipating screaming headlines. That is the risk that is being discussed here.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

...business. Following the review of the document, we made amendments to include open disclosure, to make it more visible and to look at the processes involved. We gave it back to the clinical cervical services in March this year.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

...based on a presumption that there is some action that has been taken that has led to that diagnosis, but that is far from established. As has been explained in other forums, the reason we have a cervical screening programme, which is a screening rather than a diagnostic programme, is to limit the number of such cases, but it cannot eliminate them.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Bobby Aylward: Is Mr. O'Brien confident that there is no other section within the HSE, besides the cervical screening programme, in which there is a problem that we will hear about next year or in three or six months' time? Is this making the HSE alert to other parts of the service? Are both the system and the roll-out of services fit for purpose? Is Mr. O'Brien happy that this is a once-off and that...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Catherine Connolly: ...with the State Claims Agency in terms of what remains outstanding, and reviews are under way regarding the carrying out of inappropriate procedures, including on a member of my family. There are the cervical smear, Portiuncula Hospital and Portlaoise hospital situations. All of this is from a quick search I did this morning. There are serious failures in accountability. When memos are...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

..., "... the Programme commenced the formal step of communicating cytology review findings arising from the clinical audit to the treating clinicians looking after individual women diagnosed with cervical cancer." I would not have concluded from that the patients would not hear. I would have concluded the opposite. I know there has been a dispute among clinicians which we would not have...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

David Cullinane: ...in his organisation. He accused Deputy MacSharry of trying, in the case of Emma Mhic Mhathúna, to create the impression that the false diagnosis had some consequence on her being diagnosed with cervical cancer.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Alan Kelly: .... Is it agreed that we will take Mr. Breslin and Mr. Breen's statements as read? Agreed. The director general of the HSE and Mr. McCallion will have to leave in an hour and a half, as the cervical cancer issues with which we are dealing are live ones and they must travel to Limerick. Now that the meeting has commenced, we will allow a round of questioning for the first hour and a...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

...cases it knows about. We now know it did not know about the ones the registry had or did not include those. It worked those down. The question it is effectively asking is where a person who has cervical cancer, was there some failure in the chain of screening that failed to take the opportunity to prevent this cancer from occurring? That could be because an appointment was not sent...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Marc MacSharry: ...on the record a communication that was received by Dr. Keith Swanick, who is also a Member of the Oireachtas, from one of his colleagues. It reads:How can you and your colleagues stand over the cervical controversy. We are inundated with requests for smears with no formal guidance even how to process them, how to claim remuneration. We cannot offer any form of reassurance to any patient...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

Catherine Murphy: ...not cause him any serious concern. He also talked about the requirement to manage the situation when something like this occurs in order to ensure that widespread concerns about something like the cervical screening programme are not exacerbated, which is exactly what has happened. Given the notice on this matter, which he must have read, it is very difficult to figure out why a...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE (10 May 2018)

David Cullinane: ...about her death. It is a very personal tragedy for her. Ms Mhic Mhathúna was told in 2013 that her smear test was normal. Three years later, following a routine smear test, she was diagnosed with cervical cancer. The audit of the 2013 result showed that, in Ms Mhic Mhathúna's case, the first indications of cancer were already there. She was never told. It was the same for...