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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)

Kate O'Connell: During the time since auditing started, at any point did the HSE draw a line in the sand and compare the outcomes from the four individual labs? There is lab A, lab B, lab C and lab D. Did the HSE look at each lab's smears and the resultant false negatives? I think it is a "yes" or "no" answer.

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

Kate O'Connell: Are those Irish figures?

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

Kate O'Connell: No, I understand. There is no comprehension issue here. Mr. Gleeson is referring to the Irish cohort of women. However, the lab is obviously doing American smears too. Obviously, they would not be minuscule figures. Has the HSE looked at all of the work being done by a lab?

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

Kate O'Connell: That is insignificant, is that what Mr. Gleeson is saying?

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

Kate O'Connell: Very well. I have a question for Mr. O'Brien. How can Irish clinicians conduct multi-disciplinary teamwork with people in different time zones, who use different nomenclature and perhaps different terminology regarding cervical cytology? That is the first question. Second, from the time the cervical screening programme was introduced, and we did not have the capacity in Ireland because...

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

Kate O'Connell: Mr. O'Brien was in charge. At the initiation of this process, was there any standard operating procedure for crisis management in case of something like this? It does not look like one was followed. The response seems to have been ad hoc. People were trying to get messages up the line to wherever. I think this is a yes or no question.

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

Kate O'Connell: Specifically to deal with systems failures such as this?

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

Kate O'Connell: Mr. O'Brien said earlier that the decision to go to the US was correct at the time. Does he think it is still the right decision for those smears to be done there now, ten years on?

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

Kate O'Connell: Individually performing, not collectively.

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

Kate O'Connell: That was said back in 2008.

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

Kate O'Connell: That seems logical.

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

Kate O'Connell: The population of Ireland is similar to the population of Manchester. There seem to be a lot of people involved and a lot of people moving around the organisational structure, being in one place and going to another place. It is very hard to track who was in what job when, and who was responsible. Does Mr. O'Brien accept at this point that the organisational structure of the HSE is not fit...

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

Kate O'Connell: Please.

Written Answers — Department of Education and Skills: Autism Support Services (8 May 2018)

Kate O'Connell: 170. To ask the Minister for Education and Skills if the post-primary school for 600 pupils in the Dublin 2 and 4 areas will have a dedicated autism unit. [20022/18]

Written Answers — Department of Health: Hospital Waiting Lists (8 May 2018)

Kate O'Connell: 285. To ask the Minister for Health the waiting period for hernia surgeries in St. James's Hospital; and when a person (details supplied) will receive an appointment. [19746/18]

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: Senator Colm Burke asked about where we are going now. What happened in the past was referred to but, in light of what has happened in recent weeks, it is important that there is confidence in the CervicalCheck programme. A lot of inroads have been made into treating cancer in Ireland in recent years and it is regrettable that this has caused such damage. There are people working in the...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: We are talking about open disclosure for medical people. However, fundamentally the people in the organisational structure of the HSE are not bound unless they are a member of a medical organisation. Irrespective of the amount of talk we have about open disclosure, that is to do with the practices in medicine. What about open disclosure when it comes to people in management in the HSE?...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: I wish to follow on from Senator Burke's comments. My understanding is that in Portiuncula there is no proper 3-D scanning unit, or whatever it is called. I refer to the fancy scan a woman gets at 20 or 22 weeks. About a year ago this committee heard from Professor Louise Kenny from University College Cork. She outlined that the anomalies pop up in the population group where one would not...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: Chairman-----

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: I wish to comment on something Mr. Sullivan said in reply about the red flag. This is important. Is he telling me that in Portiuncula Hospital there is no system to the effect that there are data every year that show, say, 100 babies born, five gone for cooling, three mammies dead and five babies dead. Are there no such data annually to flag issues? This seems fairly basic.

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