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Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: I am referring to Deputy O'Connell.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: I am not making it anonymously. I am saying that Deputy O'Connell has said that it is not like a lottery that the two slides got mixed up. To say that it is an exaggeration.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: To intimate that-----

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: We are short on time. To intimate that-----

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: I believe that is an extraordinary coincidence that they were mixed up. So does Lorraine Walsh. She has lost confidence in the RCOG report. She also said that she felt that women were not being listened to and she felt bullied by the Department.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Okay. I will park that. Deputy O'Connell also referred to her colleague, Senator Reilly, who advocated for the introduction of a national screening programme. At the time, he stated: I understand several laboratories are now accredited, including Beaumont/Rotunda, RCSI, St. James's Hospital through its connection with Antrim and Altnagelvin Hospital, which has looked after the needs of...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: If they were included.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: I understand that. Why does the report state that in 159 of these cases, the difference was judged by RCOG to have been a difference that could have represented an opportunity to prevent cancer or to provide a diagnosis at an earlier stage?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Does Professor Kitchener agree that the fact the slides were missing from the overall results given could have changed that percentage level, in line with the NHS?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Could it have been the case if many of them were found to be discordant?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Professor Kitchener's position is that he does not "think" it would have altered the result but he cannot be sure.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Professor Kitchener is certain of that-----

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: -----despite that many of them could be seriously discordant.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Does everybody present today - the representatives of the HSE, the Department and RCOG - believe that there have been seriously high settlements in the courts for women who have been failed by these tests, particularly on the part of the US laboratories?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Would any of the witnesses like to comment on my assertion that nobody is looking into "the something" that went wrong, which is in the guidelines issued by the NHS, which are regularly quoted. Has anybody looked into the "something" that went wrong? I accept the points regarding the limitations of screening, false negatives and false positives but when "something" goes wrong, should not...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: I understand Dr. Doherty recently visited the US laboratories. As of now, how many slides per day are reviewed by each cytologist?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Currently, as opposed to in the past.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Can Dr. Doherty give me the average number reviewed per day?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: Is Dr. Doherty happy that they are reviewing the average rather than-----

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Bríd Smith: I understand.

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