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

Rose Conway Walsh: There would be nothing around flagging up anything that might be a critical incident or that might be of any concern to the Minister. Is Mr. Breslin saying that categorically? I find it absolutely incredible that, given all this paperwork and how things were escalating, including the number of cases escalating, at no point would anyone think it merited informing the Minister. Was the view...

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

Rose Conway Walsh: I cannot get my head around why the Secretary General would not have deemed it serious enough when he saw the escalation and the State Claims Agency was involved and so on. I cannot get my head around why no one would mention it to the Minister.

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

Rose Conway Walsh: I was referring to the number of cases.

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

Rose Conway Walsh: Mr. Breslin has cited that in August 2016 a total of 120 letters had been issued by that stage with no adverse reaction. Can Mr. Breslin explain to me what "no adverse reaction" means?

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

Rose Conway Walsh: Is that the same as the view taken in April 2016? At that stage the relevant document stated that as the volume of letters increased the risk of an individual reacting to the content, if and when shared, was a concern. Does Mr. Breslin mean by that women reacting to-----

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

Rose Conway Walsh: Who wrote the briefing?

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

Rose Conway Walsh: All of this seems to suggest the Department was waiting for the women to react but hoping that they would not react to it. Then, if they did react the Department had the headlines in mind. The approach suggests if the women were going to react or speak out then the Department had to be prepared. To me it seems like a defence mechanism. I take what Mr. Breslin says about confidence is the...

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

Rose Conway Walsh: I am going to ask one final question because it is relevant today. Let us suppose a person wants her file. Maybe this question is relevant to Mr. Connaghan as well. Let us suppose a woman wants her medical file today. How is she going to get it? How long is it going to take her? If a woman goes to her general practitioner and seeks a medical file from the consultant, how long will it...

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

Rose Conway Walsh: Let us suppose a person wants her medical file tomorrow. How long would it take for someone to get a medical file, not only from CervicalCheck but across the board?

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

Rose Conway Walsh: I know what is repeated in the briefing.

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

Rose Conway Walsh: I appreciate that. Thank you for letting me in, Chairman. People have great difficulty in getting access to their medical records. I call on Mr. Connaghan to address that within the system. When people ask for their medical records, they should get them in a timely way.

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

Rose Conway Walsh: If we take it that the audit was well under way in 2013 and that there is an average of eight scheduled meetings with the Minister for Health annually, there would have been around 32 scheduled meetings during that period, between 2013 and 2018. Is that the case?

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

Rose Conway Walsh: Therefore, there would have been around 32 meetings. It is utterly unbelievable there could have been 32 scheduled meetings with the Minister for Health while all of this going on and that it did not warrant the HSE mentioning it to him, whether on or off the record.

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

Rose Conway Walsh: Whose general view was it? In the first review in March it was stated everyone would be communicated with, that the women would be communicated with. Who made the decision not to communicate the information?

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

Rose Conway Walsh: One of the documents, the summary status report of March 2016, states the women would be communicated with.

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

Rose Conway Walsh: I just want to know who made the decision or reversed it. The decision was that the clinician be requested to discuss the outcome with the woman. Who made the decision to reverse it?

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

Rose Conway Walsh: In that case, why were the women not told?

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

Rose Conway Walsh: Therefore, the doctors were told to do so and it was the doctors who did not tell the women. Is that what Dr. O'Keeffe is saying?

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

Rose Conway Walsh: Therefore, what Dr. O'Keeffe is saying the doctors received the information and they decided not to give it to the women.

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

Rose Conway Walsh: Yes, I think we should see them. We need to know the nature of the discussions. I think we need to comparatively consider the things the Department discussed and the level of seriousness of the issues that were discussed, so that we can make up our own minds around this.

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