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Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: I appreciate that. In the interest of time I am going to keep going. No one in the Department had any knowledge before April of this year that consultants may not have been passing the information on to patients. Is that correct?

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: I thank Mr. Breslin for that. The next thing I want to ask relates to more damaging non-disclosure. There is widespread belief in a clinical link between non-disclosure and outcomes for the women involved. My understanding is that there is no clinical link. In other words, had the women been told about the identification of the false negatives the day they were identified it would have...

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: I am seeking a brief answer for reasons of time.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: Now, I believe there is potentially a causal issue. It relates to what I regard as misleading information given to the women. The briefing note states:As with all screening tests, cervical screening is not 100% accurate. Screening cannot give a ‘yes’ or ‘no’ answer and a negative screening result does not mean that the disease will not develop in future. That is...

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: I am sorry to cut across Dr. McKenna but we do not need to go over the statistical accuracy issue. I ask Dr. McKenna to answer the question I asked.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: That is not the question I asked. I am not asking Dr. McKenna what he thinks the documentation should say. He knows what I am asking him. Could he answer the question I asked please?

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: No, I do not want a general observation; I want an answer to the question I have asked.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: I know that less than 100%, mathematically, can include 70% but-----

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: -----that is not the question I am asking.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: Can someone answer the question I am asking?

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: I understand that. I am not looking for a statistical conversation about it. Can Dr. McKenna answer the question I have asked?

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: That still does not address the question I asked. Dr. O'Keeffe is talking about the percentage of the population covered. I am talking about an individual woman. An individual woman is told that the test is not 100% accurate. That is the information she is given and that is the information consultants are given. The reality is that if that woman has pre-cancerous cells, the screening has...

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: I just want to note that as far as I am concerned, I still have not had a straight answer to the question. I am not asking Dr. McKenna if the information provided to patients is statistically or mathematically true. I am asking, in the context of a patient walking into a GP's surgery, whether he believes it is accurate or misleading in terms of the quality of the test.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: Is it possible to see the advice provided in 2015? Is it in writing?

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: This is the advice provided for the then Minister, Deputy Leo Varadkar, saying why mandatory disclosure should not be legislated for. Is that right?

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: Did Dr. Holohan provide the actual advice? There is the material backing up the advice and then there is the advice. Did he provide the advice?

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: Okay.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: Chairman, may I just make a point? I am sorry. It will be very quick.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: It will. I ask Deputy Durkan to bear with me.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme: Discussion (16 May 2018)

Stephen Donnelly: This is an example of what I am talking about. I asked Mr. Breslin earlier specifically about this legal advice-----

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