Results 4,921-4,940 of 49,836 for speaker:Stephen Donnelly
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: I thank the witnesses for their contributions/This entire episode has been marked by tragedy and misinformation. There is a widespread misunderstanding among many people as to what has happened. There are three issues, the first of which relates to the laboratories. Some people believe that the US laboratories have been less accurate but the data do not back that up. However, we should...
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: Within the committee, when we refer to a "clinician", we are typically talking about doctors, nurses or registered physiotherapists but people who are clinically trained and registered.
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: The reason I sought clarity was because Deputy Louise O'Reilly explicitly asked whether clinicians were involved. She was told "No" by the witnesses. The Minister at the time not only said that clinicians were involved but that the scheme was clinically-led and then went on to essentially identify the clinicians who were involved. I have sat through weeks of misinformation being put into...
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: Were clinicians involved in the process?
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: It has been said that a political decision was made. An independent group, the cancer screening service, with an independent board, was legally in charge of this process and brought in an international expert group that was involved in accreditation, and they ran it. I would imagine that the contract documents flowed through them and so forth.
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: Mr. Casey has said that it was a political decision. Is he alleging that there was political interference in an independent process?
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: I do not say that Mr. Casey is wrong but it is an important allegation that will be picked up on nationally and, potentially, in the Dáil. It has been established and verified that there was an independent process with an independent board, and an expert group brought in. None of us is contesting those facts. If the witness is saying there was no political interference in that process,...
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: To be clear-----
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: I am looking for clarification from Mr. Casey. There was either political interference or there was not. Mr. Casey cannot assert that there was no political inference in an independent process but that it was still a political decision. He cannot maintain both of those positions. There was either political interference or there was not.
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: It is.
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: To be clear on this-----
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: Whether it is thought fair or not, I am trying to get to the bottom of what Mr. Casey is-----
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: I thank all of the witnesses for their attendance. I recognise all of the work they do in trying to save lives. The audit on open disclosure kicked off this discussion. It was stated earlier that BreastCheck looks forward to implementing open disclosure in early 2019, in respect of which I have two questions. First, how can it be that the HSE implements open disclosure in 2013 and a...
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: I apologise for cutting across Professor O'Doherty but in the interests of time, is the answer to the question that the breast screening service did not implement it in 2013 because the HSE 2013 policy did not apply to what the service was doing?
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: It will seem strange to the public that the HSE introduced a policy in 2013 and that five years later, parts of the HSE are proposing to implement it next year. On the audit, we know that CervicalCheck introduced an audit for all diagnoses from 2014 onwards and that it also audited a batch from before then. As I understand it, currently in BreastCheck there is not an automatic look-back...
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: My question is whether there is an automatic audit, as is the case in CervicalCheck?
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: I appreciate that. My question is whether that process is automatic. In regard to CervicalCheck, my understanding is that once there is a diagnosis, as part of its internal processes a look-back is done at previous screening regardless of whether a doctor or patient seeks it. My question is whether that is the case in BreastCheck.
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: No, I am not. Every time there is a diagnosis of breast cancer,-----
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: -----is there a process that automatically performs a look-back? Yes or no?
- Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)
Stephen Donnelly: Just so that I understand, does that mean that, since 2011, there is an outstanding batch of diagnostics? Let me try to ask in a simpler way. Are the tests of women who were diagnosed with breast cancer in 2012 and onwards being examined retrospectively?