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Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: But when the diagnosis is wrong, as was the case in 221 cases, that was discovered by a retrospective audit.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: Sorry, I beg your pardon - the retrospective audit identified that the analysis was wrong.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: That is not happening now.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: So let us go back to quality assurance, which was teased out earlier on. When the results come back from the labs with which CervicalCheck has the contracts, it simply accepts them because they have their own quality assurance. Is that right?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: Where does it get that from?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: I understand all that and we get that every week - that all the processes are in place. What happened though was that 221 women did not benefit from that. It was quite the opposite. What I am trying to get here is that the system accepted the results of the smear tests coming from the labs and now there is a serious question over the quality assurance and the checking of that. Is that...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: No, Mr. Connaghan, I have only five minutes and we have been through that a thousand times. We are talking about the women affected. Despite everything Mr. Connaghan talked about and despite the quarterly reports, something has happened here that this has failed. That was not picked up by CervicalCheck nor by the HSE. It came to our attention as a result of Ms Vicky Phelan speaking out...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: That was part of the failure but it came from the retrospective audit.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: On the confidentiality agreements, and this is my last question, it was said that they have not been used in the last number of years. Is that in every case and not just in cervical smear tests? I understand, first of all, that Ms Vicky Phelan said that she was asked to have a confidentiality clause. Is Mr. Connaghan saying, openly, that the HSE has not used confidentiality clauses for years?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: I have a comment and a question. As a process, we dragged out the three memorandums that existed. Thanks to Ms Vicky Phelan and the other brave women who came forward, things are emerging. Now we are quoting a solicitor. It does not build confidence. When Mr. Connaghan was before us a few weeks ago, I made this point to him. It is not helpful. Moreover, Dr. Scally had to come forward...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: It was the audit process retrospectively that discovered the mistakes.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: If there is no audit process, there is no discovering of mistakes.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: We wait for the cancer to develop.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: Dr. McKenna waits for the cancer to be caught?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: There is a misunderstanding here on my part. The cases that are increasing all of the time, which in number are now up at 221, have come to light as a result of the audit process.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: Okay. That audit process has now been suspended.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: Why has it been suspended?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: We saw all that from the memorandums.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: It was all outlined in the memorandums. It was more concerned about the communication process-----

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

Catherine Connolly: -----and avoiding screaming headlines. Notwithstanding those difficulties, those memorandums are totally unacceptable. At the time, I asked Mr. Connaghan had he read them. I will stick with the audit. Is it correct that the HSE is suspending an audit process that discovered problems because the protocol around who should talk to the patients has not been agreed?

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