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Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: Are the people in question aggrieved?

Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: Are they miffed?

Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: Are they both?

Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: I saw reference to that on a programme recently, which is why I raised the question. It is just a case that they do not meet the standard.

Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: They acknowledge that they do not meet the standard.

Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: From what I gather, an area is emerging where there is a multiplicity of advices to the consumer and the general public, some of which are of no relevance and some which are hugely important. Obviously, there was correspondence with all the respondents in this case and we will not find that they have come back to us in a few weeks to say that they had been excluded or that they should have...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: To continue the theme of my colleague, what alert system is in place within the health service in the event that something occurs within the system which should set off alarm bells? Is there such a trigger mechanism and, if not, why not? What happened in the particular case we have discussed in the past couple of weeks? Was the emphasis on defending the case in court, or was it on reaching...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: Was this deemed to be a public patient health risk?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: Why did it fall down? In the interim, has the HSE had an opportunity to test the system to find out where the weakness was given the potential threat to the health and, eventually, the lives of a quite substantial number of women throughout the country?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: Did anybody warn that this might happen given that tests are carried out every three years here and every year in the United States? Did anyone anticipate what could happen in a situation like that given the scientific knowledge available to the health services?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: Are all the laboratories-----

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: These are my final questions. Are all the laboratories - those in the United States and those here - equally efficient in their ability to determine and alert to the existence of the disease? How does the HSE propose to set in place a procedure that will quickly alert both the system and patients as to what to be aware of? Who alerts whom from there on? How are the relevant sections of...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: Accuracy as well.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: I will do my best not to falter in the course of my contribution. I want to mention two or three things which have come to my mind. The statement provided to the committee by Dr. Holohan states:Patients have a right to be provided with honest, open and prompt communication about any adverse event that may have caused them harm. This is underpinned in the Medical Practitioners Code of...

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: That was a major positive element in its assessment.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: It was not suggesting that the service was up to that standard.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: In hindsight does Mr. O'Brien think it was up to that standard?

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: A new system is anticipated with greater sensitivity and greater accuracy in the determination of the positive existence of the disease. I presume that is a very new system.

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: Its accuracy will be somewhat-----

Joint Oireachtas Committee on Health: National Cervical Screening Programme: Department of Health, HSE, CervicalCheck and the National Cancer Control Programme (2 May 2018)

Bernard Durkan: Recognising that the cervical test is just a test or screening and not a diagnosis, how close together can screening and diagnosis be brought? Will they converge? Are we bringing the screening nearer to the diagnosis? Will the witnesses tell me more?

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