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Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: On risk management, one of the objectives of the State Claims Agency is to advise and assist healthcare enterprises on measures to be taken to prevent the occurrence or to reduce the incidence of adverse clinical events which could result in medical negligence claims. Given we now have 11 cases, has the State Claims Agency given or will it be giving any advice to the HSE on measures to be...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: Do we have the memo?

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: I have a final question. I want to go back to the screening programme. When did the Department become aware of the four cases of BreastCheck that are with the State Claims Agency at the moment? Was it aware of them?

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: I might come in again later.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: Where even to start? I do not want to say something which is inaccurate. I want to try and get the timeline in my own head. Maybe Mr. Breslin can agree or, if it is wrong, he or whoever can correct me. In relation to the timeline, an audit was carried out. That was the first step. There was then a decision taken that the results of that audit should be communicated. We can say that...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: Yes. It is clear from this.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: A memo states they "have reacted with concern in some instances to the ... Programme communicating cytology review findings to [not even women] treating clinicians and there has been legal correspondence in previous months." I would presume the correspondence is in relation to the decision to relay that information to clinicians.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: I accept that. The July memo states that the national screening service "met with one of the laboratories in May 2016 and legal correspondence has ceased since that meeting." The question I would have to ask is, what was said at that meeting to reassure the laboratories? I am presuming and I do not want to be presuming. That is why I am asking the question. There must have been something...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: I appreciate that. On the memo that was sent in March, which is the one Mr. Tony O'Brien said he saw, I want to quote what the director general said this morning. He said that the memo outlined that a communication process was going to be put in place. When pressed, he said that if the process had been carried through there would be no woman who was not informed. I do not know how that...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: I refer to what the Comptroller and Auditor General said in respect of 286 as opposed to 209, which is the number that is out there. Can someone explain the difference?

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: That letter would have been to inform the clinician-----

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: The 20% is in relation to missed appointments or-----

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: That is where we get the figure. What was the nature of the letters that were sent out?

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: We can go over the figures but it does not change the fact-----

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: -----that nowhere in the memo the director general saw does it state that a communication process is under way to inform the women.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: The circular was the communication process.

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: In regard to the communication process the director general spoke about today, was that the circular which was issued?

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: Does anyone know? What was the communication process?

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: The difficulty I have, and I will wrap up on this, is that we were told this morning by the director general that the memo he received indicated to him that a communication process was under way to inform the women. That is what was said. When he was pressed, he said that if the process had been carried through, there would have been no woman who was not informed. Nowhere in any of these...

Public Accounts Committee: State Claims, Management of Legal Costs and Policy on Open Disclosure
Implications of CervicalCheck Revelations
2016 Financial Statements of the State Claims Agency
2016 Financial Statements of the HSE
(10 May 2018)

Jonathan O'Brien: A representative from the National Cancer Screening Service should also attend.

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