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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)

Catherine Connolly: I thank Mr. Breslin. Will he respond on the laboratories and quality issues?

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)

Catherine Connolly: I understand. In the meantime, the tests will continue to be carried out at the laboratories.

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)

Catherine Connolly: I asked if the Vice Chairman could clarify who is doing-----

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)

Catherine Connolly: I want to go back to basics. I asked Mr. O'Brien when he found out about this and he clearly said early 2016. We then get a memo from March 2016. He knew as far back as March 2016. There is no date or signature on that memo, which is extraordinary. Was the Department aware of this memo or the other two memos?

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)

Catherine Connolly: I heard him say that he got a memo. I did not hear anything else.

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)

Catherine Connolly: The Department was possibly aware of this March memo. Does that mean that Dr. Holohan and Mr. Breslin were possibly aware of it?

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)

Catherine Connolly: Will the witness listen to me?

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)

Catherine Connolly: This matter has come to light because brave women have come forward. I have tried to stay away from emotions. It has taken a number of deaths, several committees and until now today to establish the existence of these memos. As the head doctor in the Department, was the witness aware of any of these memos? The answer is yes or no.

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)

Catherine Connolly: Was Mr. Breslin aware?

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)

Catherine Connolly: The memo we have seen is from March 2016. It is undated and unsigned. Did Dr. Holohan stand over it? It says that there was a risk - not to the lives of the women or their health - that in communicating individual case reports to clinicians the patients would go forward to the media and there would be headlines such as, "Screening did not diagnose my cancer". This was the risk that 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)

Catherine Connolly: Does the witness know whether he was aware of this and thought that it was okay or not at this point?

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)

Catherine Connolly: The contents are shocking. I believe we would all agree with that. Was the witness aware of this memo? Did he stand over the content of this, as the chief medical doctor?

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)

Catherine Connolly: The witness may do that with the Chair's time afterwards, perhaps, but I-----

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)

Catherine Connolly: -----have repeatedly heard that there is a problem with communication. I have heard that it was a communications issue, an isolated case and that nobody knew. We all know now. I am saying to the witness, as the chief doctor, that the message in this memo has nothing to do with difficulties with cervical smears. It concerns controlling the message and anticipating screaming headlines....

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)

Catherine Connolly: I have tried to avoid making conclusions all day and to listen with an open mind. At this point I am finding it extremely difficult. I have read the three memos very quickly. It is clear that containment of the problem is being attempted here. Would the witness agree with 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)

Catherine Connolly: The witness disagrees.

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)

Catherine Connolly: What we know is that an undated, unsigned memo was sent to Mr. O'Brien in March 2016. We know that the witness, the chief doctor in the Department, is not sure whether he saw this memo and that he is not telling us whether he disagrees with the message contained in the memo which states that the message to the media must be controlled. There are no alarm bells about 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)

Catherine Connolly: What did the witness say?

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)

Catherine Connolly: There are serious concerns for reputation as opposed to women's lives and women's health. There are two other memos from July. No specific date is given for either. There are contradictions between the two memos. For example, one memo refers to over 1,200 cases and the other mentioned 1,100. In relation to letters, to date a total of 86 letters went out with 200 more to go. According...

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)

Catherine Connolly: We are looking at these. At this point, would Dr. Holohan have serious concerns about these notes and the nature of the content of them? Would Dr. Holohan, as the Chief Medical Officer, have serious concerns about the content of these three memos?

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