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

Kate O'Connell: Does the job description state that this is a half-time role and that the rest of one's time should be spent in the real world, for want of a better term?

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

Kate O'Connell: Was it in her original one?

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

Kate O'Connell: The point that it was half-time and of being engaged.

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

Kate O'Connell: I think it is a good thing.

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

Kate O'Connell: She was there from the outset-----

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

Kate O'Connell: -----and would have noticed when she returned from the UK that we had a very high level of cervical cancer relative to our European counterparts, and that there was a critical need. She became highly aware, as a witness mentioned earlier, that we are doing about the same amount of smear tests now as we did ten years ago. They simply are being done differently. Everybody is getting a go at...

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

Kate O'Connell: I am on 15 minutes and Deputy Kelly had 21 and 57 seconds, so I have still a bit to go yet.

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

Kate O'Connell: It is not a target; I am just pointing it out. A lot of the narrative in the media and in here has been around who knew what and when, and it was Vicky Phelan who used that phrase initially, if I remember correctly. It seemed to be very clear from all the documentation we received that there is no evidence this was ever escalated to ministerial level. From the evidence, I think we can see...

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

Kate O'Connell: There has been an internal discussion and I am next.

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

Kate O'Connell: I refer back to the audit process. At the outset, Dr. O'Keeffe mentioned audit process methodology papers. Could we have those please?

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

Kate O'Connell: If those papers exist, we need to look at the actual flawed process of disseminating information to the real person affected, which I spoke about in my previous contribution. Dr. Holohan is a medical doctor who has dedicated the bulk of his life to healthcare, and from the evidence we have had of him before this committee, the Sláintecare committee and any other committee he has come...

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

Kate O'Connell: Yes, but the chief medical officer is the top doctor in the Department. How does he feel about somebody who is not a clinician making a call that this did not need to be escalated to him? Does it really annoy him that he is not given all the information, because I imagine it would really annoy him? Does it really annoy him that he was not fully aware of stuff that we all agree he should...

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

Kate O'Connell: Yes, sorry, in this case, not in general.

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

Kate O'Connell: If it is the case that the person who was conducting the audit process, and I am specifically speaking about Dr. O'Keeffe, did not make the decision to escalate this up to chief medical officer level in the Department, how could that have happened in her role? I am trying not to be personal here but how could that have happened? How could we have started off with an audit process that was...

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

Kate O'Connell: Dr. O'Keeffe's expectation.

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

Kate O'Connell: With respect, I am not asking about everybody's expectation, I am just asking about Dr. O'Keeffe's expectation.

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

Kate O'Connell: Yes, and Dr. O'Keeffe referred to this. Does she not accept that at her level, perhaps she should not just accept what she is told? Does she not accept, and I would think that it would have been fairly obvious to anyone who had worked in clinical medicine, that doctors would have had an issue disclosing information that was not part of their testing? A woman with active cancer has a...

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

Kate O'Connell: It never occurred to Dr. O'Keeffe.

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

Kate O'Connell: Was Dr. O'Keeffe not suspicious that it was all going a bit too well?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Kate O'Connell: Following on from what was discussed before the lunch break, I want to focus on the auditing process and the genesis of CervicalCheck as a programme We received screening data from the labs at both committees which refers to the period 2013 to 2016. The lab data we were given is from that time, but the audit precedes that time. Is there any reason we have not been given the lab data for...

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