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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: I do not know if Dr. Holohan was the chief medical officer at the time, but the Taoiseach referred to chief medical officer advice on disclosure. Will the committee get that written advice? The advice, as I understand it having been relayed from the Taoiseach, was that, counter-intuitively, mandatory disclosure would lead to less disclosure. I am not asking for the witnesses to relay 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 Dr. Holohan. I now return to the case of Vicky Phelan and the Department's response. Is it reasonable to say that no action was taken to prepare for the publicity and its effects as it began to unfold from late Wednesday?

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: To clarify the question, I appreciate that action was taken when it became an issue of public concern. The Minister had been told about it ten days before it became a matter for public concern, and the Department knew about it ten days before that. It is fair to say that the system was caught completely off guard. Did the Department do anything to prepare for the potential publicity and...

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 conversations between the Department and the national screening service was the Department given any indication that there could be other cases like this?

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 that that is the Department's remit, should officials not have asked if there are other cases and wider implications?

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 am referring to cases like Vicky Phelan's or false negatives.

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 all know that. However, if the Department's role is to determine potential adverse future use of screening services, which is exactly what has happened, should officials not have asked the national screening service when it said: "This is Vicky Phelan's case. This is what is coming. There is an issue of a false negative. Actually it is more serious than that. It is a missed screening...

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: Does Dr. Holohan believe that the national screening service should have informed the Department because it knew this was a wider issue?

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 know Dr. Holohan is speaking in good faith, but we have letters from the clinical director of CervicalCheck saying:"Sure, you only need to tell three of your ten patients about this." CervicalCheck not only knew this it was a wider issue, but it was actively involved in the wider issue.

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 Dr. Holohan. I turn to Dr. Henry. This is a very worrying illustration of a culture of silence. I presume he is doing a lot of thinking about this issue. Why are clinicians not disclosing information to patients, which is clearly in contravention of the HSE's open disclosure policy?

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: When CervicalCheck finally acted, it informed the clinicians in 2016. We know that in 13 hospitals and in three out of every four patient cases, the doctors did not relay on the information. That is nothing to do with training and what one understands the purpose of an audit to be. The doctors were told of these serious incidents. They were presumably aware of the HSE's 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: While I understand that, it still does not answer the question. Clearly if there was no issue; there would not have been that. The clinicians would have got the results and if they felt safe and ethically bound to tell their patient, they would have just told their patient. However, they did not do that. Clearly something is stopping the clinicians from sharing the information. It is...

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 Dr. Holohan.

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 will ask my question first, which may be on the same issue. I appreciate that the chief medical officer has provided the perspective of the Department, which is very welcome, but it would be useful to get the viewpoint of the HSE on that matter Dr. Holohan has expressed his view on why this culture of non-disclosure developed and is clearly extant in the HSE. What is the view of the HSE...

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: Legal liability is a concern for doctors.

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: That makes it even more surprising that they did not pass on the information.

Written Answers — Department of Health: Patient Safety (3 May 2018)

Stephen Donnelly: 150. To ask the Minister for Health the patient and child safety measures in place for Temple Street Children's Hospital; if he is satisfied that there are no concerns regarding the matter; and if he will make a statement on the matter. [19344/18]

Written Answers — Department of Health: Health Services Funding (3 May 2018)

Stephen Donnelly: 172. To ask the Minister for Health if a multi-annual consideration was made on a recent cost study analysis of a facility (details supplied); if the full level of funding reinstated in 2017 has been released; if funding in 2018 has been released; if the HSE has investigated the impact on the service of the possible non-release of funds; and if he will make a statement on the matter. [19410/18]

Health Service Reform: Motion [Private Members] (8 May 2018)

Stephen Donnelly: I thank Deputy Harty and his colleagues for tabling tonight's motion on healthcare. Fianna Fáil is in agreement with much of tonight's motion, particularly the calls for immediate action for implementation for increased capacity in hospitals, in general practitioners' surgeries and in community care. I am pleased to say that Fianna Fáil will support this motion and has a very...

Written Answers — Department of Health: Maternity Services (8 May 2018)

Stephen Donnelly: 300. To ask the Minister for Health the number of compensation payments made by the HSE on foot of incidents in maternity units in 2017, in tabular form; the amount of each individual payment; and the maternity unit in which the incident took place. [19806/18]