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

Kate O'Connell: I refer back to the audit process. At the outset, Dr. O'Keeffe mentioned audit process methodology papers. Could we have those please?

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

Kate O'Connell: If those papers exist, we need to look at the actual flawed process of disseminating information to the real person affected, which I spoke about in my previous contribution. Dr. Holohan is a medical doctor who has dedicated the bulk of his life to healthcare, and from the evidence we have had of him before this committee, the Sláintecare committee and any other committee he has come...

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

Kate O'Connell: Yes, but the chief medical officer is the top doctor in the Department. How does he feel about somebody who is not a clinician making a call that this did not need to be escalated to him? Does it really annoy him that he is not given all the information, because I imagine it would really annoy him? Does it really annoy him that he was not fully aware of stuff that we all agree he should...

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

Kate O'Connell: Yes, sorry, in this case, not in general.

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

Kate O'Connell: If it is the case that the person who was conducting the audit process, and I am specifically speaking about Dr. O'Keeffe, did not make the decision to escalate this up to chief medical officer level in the Department, how could that have happened in her role? I am trying not to be personal here but how could that have happened? How could we have started off with an audit process that was...

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

Kate O'Connell: Dr. O'Keeffe's expectation.

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

Kate O'Connell: With respect, I am not asking about everybody's expectation, I am just asking about Dr. O'Keeffe's expectation.

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

Kate O'Connell: Yes, and Dr. O'Keeffe referred to this. Does she not accept that at her level, perhaps she should not just accept what she is told? Does she not accept, and I would think that it would have been fairly obvious to anyone who had worked in clinical medicine, that doctors would have had an issue disclosing information that was not part of their testing? A woman with active cancer has a...

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

Kate O'Connell: It never occurred to Dr. O'Keeffe.

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

Kate O'Connell: Was Dr. O'Keeffe not suspicious that it was all going a bit too well?

Written Answers — Department of Education and Skills: Schools Establishment (16 May 2018)

Kate O'Connell: 115. To ask the Minister for Education and Skills his plans for an Educate Together or other non-denominational secondary school to serve children in Dublin 8 and 12; and if the recently announced schools in Dublin will include Dublin 8 and 12 in their catchment areas. [21601/18]

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)

Kate O'Connell: Mr. O'Brien referred to the memo as "reassuring" and said the figure of 209, out of 1,400 plus, would not alert. What is that based on? Is it based on clinical knowledge? Without knowing what the actual rate should be, how can he read a memo in his position and make that assumption? In the data reconciliation process, the two-way data does not seem to have been transferred from the...

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)

Kate O'Connell: Did you get advice on the memo or did you just read it and decide? The impression you gave was of reading it and thinking "This is grand".

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)

Kate O'Connell: It does not really answer my question. Did Mr. O'Brien sit down with statisticians and quality assurance people and did they tell him there was nothing to worry about?

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)

Kate O'Connell: Was it reassuring in your view or that of the people who advised you?

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: Senator Colm Burke asked about where we are going now. What happened in the past was referred to but, in light of what has happened in recent weeks, it is important that there is confidence in the CervicalCheck programme. A lot of inroads have been made into treating cancer in Ireland in recent years and it is regrettable that this has caused such damage. There are people working in the...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: We are talking about open disclosure for medical people. However, fundamentally the people in the organisational structure of the HSE are not bound unless they are a member of a medical organisation. Irrespective of the amount of talk we have about open disclosure, that is to do with the practices in medicine. What about open disclosure when it comes to people in management in the HSE?...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: I wish to follow on from Senator Burke's comments. My understanding is that in Portiuncula there is no proper 3-D scanning unit, or whatever it is called. I refer to the fancy scan a woman gets at 20 or 22 weeks. About a year ago this committee heard from Professor Louise Kenny from University College Cork. She outlined that the anomalies pop up in the population group where one would not...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: Chairman-----

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (9 May 2018)

Kate O'Connell: I wish to comment on something Mr. Sullivan said in reply about the red flag. This is important. Is he telling me that in Portiuncula Hospital there is no system to the effect that there are data every year that show, say, 100 babies born, five gone for cooling, three mammies dead and five babies dead. Are there no such data annually to flag issues? This seems fairly basic.

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