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Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: Mr. Connaghan referenced searchable data and spreadsheets and the technicalities of searching same. I do not think he is correct because an electronic spreadsheet is easily searchable. It is possible to convert documents to searchable format. I do not buy the idea that there is some complexity involved in searching documents. As far as I am concerned the issue here is that somebody made a...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I would argue that the barrier was a human barrier rather than a technical one. On the laboratory data, Mr. McCallion said that drawing out historical data is a complex process. Deputy Jonathan O'Brien asked Mr. McCallion about the results from the laboratories for 2013-2014, 2014-2015 and 2015-2016. I have a photograph of the results on my phone which is dated 9 May. I do not know on...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: Mr. McCallion said that the State no longer has a contract with some of the laboratories. Am I correct that what he is saying that the State employed a laboratory from which data was not received and collected and installed on our own systems, scanned or otherwise?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I do not believe what Mr. McCallion is saying because we already have data detailing in simple format the percentage accuracy of the laboratories over three years. To my mind, there should be similar data available for other years.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: In respect of the three years for which we were given data, who decided they were the years for which we should be given data? Why do we get those three years?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: What does "easy" mean? Did the service have them or were they in the laboratory? What does Mr. McCallion mean by "easy"?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I cannot appreciate it. I actually cannot appreciate it.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: Sorry. If Mr. McCallion would not mind.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I cannot appreciate it because it seems the most basic thing to have in this set-up would be the total number of smears, or slides, that went to labs A, B and C for every year and the percentage. It seems like the most basic thing the service would have.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: It is just not acceptable.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: Let us say, for example, that in one of the particular years that are missing there was a dodgy machine and lots of things were missed. The screening service would not know because if one does not have it, one will never know. It is only when people started to drop dead that the service would cop on.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I am getting to that. I think Mr. McCallion is moving away from my point, namely what would happen if there was a huge outlier. I use the machine, I totally get QA and I am a QP myself. So, I get it.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: If there was an outlier, the screening service would never know because it did not have the data. It could be for whatever reasons; perhaps someone looking at slides lost the sight in one eye, the machine broke or a window was left open. The service would never know because, if it does not have it, how would it?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: It is there in a secret place.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I know what this is. I am not talking about the temperature of the room, the competency of the operator or the competency of the machine. I am talking about the number of slides in, false negatives, negatives and borderlines. It is the table we got but which I do not have a copy of with me.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I do not buy that the screening service does not have that table for every year and that it does not have it handy. I cannot understand how we got three years on 9 May whereas there is some historical barrier regarding the rest of it.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: Mr. McCallion also said there was agreement with the laboratories to release the document. Mr. Gleeson then said the contracts were due to expire in November this year. How often were the contracts reviewed? Was it every two years or is this the first time? How often are the contracts for the laboratories reviewed and reassessed?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: Yes. It is a rolling contract. If a laboratory got a contract in 2009, when was it re-evaluated? Was it every year or every two years?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: CervicalCheck is spending taxpayers' money to pay a laboratory and it does not matter if it is in Tullamore or San Francisco. How often are the contracts reviewed or did someone sign a contract for ten years and say "We will suck it up for ten years and then have a look at it"? Is it being looked at every 18 months?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (14 Jun 2018)

Kate O'Connell: I know this. How often are they reviewed?

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