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Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: It is a statement from the Irish Association for Clinical Cytology.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I mixed up the two of them. It is my fault. I apologise.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Let me finish. I have another question. That is the first point. We know now that the 70-30 rule has been cited all along. I was very much taken by the previous outsourcing exercise because it is a statement of fact. It also says: "We would be concerned that an increase in mortality and morbidity may result in Ireland by using a laboratory with low detection rates." There is a...

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: That is fine. I use these for historical context.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: That correlates with what Dr. Lambkin said.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: What about the link with mortality rate?

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: It says: "We would be concerned that an increase in mortality and morbidity may result in Ireland by using a laboratory with low detection rates". That is a fairly definitive statement.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I understand that.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: My point is all of these issues were flagged in 2007.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I will move on because I have a range of questions.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I ran the clock on the others. I have more than three minutes. I refer to the quality of the results being provided. Letters were issued to women. A total of 46 got them in time and others only received them recently. I have a copy of one. On the left it gives the previous result and, on the right, it is reviewed. I know from talking to people and through the audit which started in...

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: 2011 appears to have been a bad year.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I appreciate Ms Culliton's honesty. In fairness, she is spot-on. We have a memorandum-----

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I have many other questions but I will come back in again.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I have many questions about the future in addition to the current situation. Let us consider the note that was prepared by the HSE for the Minister for Health and the Department only a month ago in April. It states there was no issue relating to quality. That is famously said in the memorandum. We all know now that was completely ridiculous and wrong. I refer to the audit process. When...

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Chair, I cannot get any rhythm when I keep being interrupted. In fairness, I do not think others have been interrupted.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Will I just leave? My point is that there is a requirement for a quality assurance review. It was quite obvious within the HSE and there was a failure there to notice this, which is obviously a process failure and a failure of management.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: The decision was at a political level rather than-----

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: To summarise, I think it was ultimately a political decision rather than political as in party political or ideological. I have some questions and I am going to run through them so that the witnesses can answer at the end.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Incidentally, Mr. Naughton's intervention with Deputy Donnelly was very worthwhile-----

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