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Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: Given the national public anger and fear, did it not occur to Dr. Henry that the matter warranted escalation to Mr. O'Brien?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: We now know that no action occurred. We know that three in four women were not told. We know that there were open disputes, which Dr. Henry was brought into, between a clinician and the service. Dr. Henry has just stated to the committee that as far as he is concerned he initiated the process, took the appropriate action, and was led to believe that things were happening. Does he, bearing...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: Is the witness saying that of course he believes he was mislead?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: Mr. Gleeson stated earlier that a decision was never taken not to disclose, specifically-----

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: -----in the case of Vicky Phelan and the others.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: I want to challenge that statement for several reasons. We have a circular from CervicalCheck, saying to doctors that in instances where the woman is still alive they should use their judgement, and that in instances where the woman is deceased it should be noted on the file. We also have a letter from Dr. Hickey, Vicky Phelan's consultant, to CervicalCheck, addressed to Dr. Gráinne...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: We will move on.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: We have documentary evidence showing that the active advice from CervicalCheck was to tell just three in ten patients, and I do not need a response, but my view is that that represents a decision not to disclose. Turning to Mr. O'Brien, in 2013 the open disclosure policy came into effect. In 2014 there was an audit. In 2015 a decision was taken to share the results with the women; two...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: I thank the witness. How did so many people in the HSE, including clinicians and managers, stay quiet in what clearly was an egregious breach of open disclosure?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: I thank the witness.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: I was here for that. The principles of open disclosure in the HSE are: acknowledgement; truthfulness, timeliness and clarity of communication; apology-expression of regret, recognising the expectations of service users, that they may reasonably expect to be fully informed of the facts and consequences in relation to an adverse event; and clinical governance. Does Mr. O'Brien believe that...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: I thank the witness. When was the screening job last tendered? Was it 2012 or was there a subsequent tendering?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: The witness's opening statement references 2012, but it does not say whether or not that is the most recent tender process.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: Before we turn to Mr. Gleeson, Mr. O'Brien might answer one further short question. I thank the Chair for his indulgence. This is off topic but it was raised in the Dáil today, and while Mr. O'Brien is here I want to raise the issue. It concerns his board membership of Evofem Biosciences.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: It is not out of order; it is a very quick question.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: We had a three-hour meeting earlier today, which was supposed to be about specialist registers, and many other topics were discussed. This is one question in the course of a 20-minute discussion. I beg the Chair's indulgence.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: We were moving to Mr. Gleeson to get an answer to a question that the Chair was ruling in order.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: I asked when the screening service was last tendered.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: The last time the decision was made to use services based in the United States was 2016. Is that right?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Stephen Donnelly: I thank the witnesses. The meeting is in its fifth hour and their presence is appreciated. I will start with the Department. I seek two pieces of information for the committee. One is referred to in the memorandum to the Minister, namely, the national screening services advice that Vicky Phelan's case did not concern patient safety. I understand this was an email sent on 11 April 2018....