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

Kate O'Connell: Does Mr. O'Brien think that he should continue to work for the remainder of his contract?

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

Kate O'Connell: With respect, it is a pity that he did not focus on it before now.

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

Kate O'Connell: Which is what?

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

Kate O'Connell: One of the witnesses spoke about the four laboratories in the United States being comparable within certain parameters. Many members have asked questions, so I just want to be clear. Is Mr. O'Brien telling us that he is happy with the standards of the three or four labs being used - it does not matter to me how many - both American and Irish? As head of the HSE, does he think, not in his...

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

Kate O'Connell: I understand that.

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

Kate O'Connell: During the time since auditing started, at any point did the HSE draw a line in the sand and compare the outcomes from the four individual labs? There is lab A, lab B, lab C and lab D. Did the HSE look at each lab's smears and the resultant false negatives? I think it is a "yes" or "no" answer.

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

Kate O'Connell: Are those Irish figures?

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

Kate O'Connell: No, I understand. There is no comprehension issue here. Mr. Gleeson is referring to the Irish cohort of women. However, the lab is obviously doing American smears too. Obviously, they would not be minuscule figures. Has the HSE looked at all of the work being done by a lab?

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

Kate O'Connell: That is insignificant, is that what Mr. Gleeson is saying?

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

Kate O'Connell: Very well. I have a question for Mr. O'Brien. How can Irish clinicians conduct multi-disciplinary teamwork with people in different time zones, who use different nomenclature and perhaps different terminology regarding cervical cytology? That is the first question. Second, from the time the cervical screening programme was introduced, and we did not have the capacity in Ireland because...

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

Kate O'Connell: Mr. O'Brien was in charge. At the initiation of this process, was there any standard operating procedure for crisis management in case of something like this? It does not look like one was followed. The response seems to have been ad hoc. People were trying to get messages up the line to wherever. I think this is a yes or no question.

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

Kate O'Connell: Specifically to deal with systems failures such as this?

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

Kate O'Connell: Mr. O'Brien said earlier that the decision to go to the US was correct at the time. Does he think it is still the right decision for those smears to be done there now, ten years on?

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

Kate O'Connell: Individually performing, not collectively.

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

Kate O'Connell: That was said back in 2008.

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

Kate O'Connell: That seems logical.

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

Kate O'Connell: The population of Ireland is similar to the population of Manchester. There seem to be a lot of people involved and a lot of people moving around the organisational structure, being in one place and going to another place. It is very hard to track who was in what job when, and who was responsible. Does Mr. O'Brien accept at this point that the organisational structure of the HSE is not fit...

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

Kate O'Connell: Please.

Public Accounts Committee: Business of Committee (26 Apr 2018)

Kate O'Connell: I wish to add to that. To my mind, this clearly is a systems failure. The tragedy of it is that if things do not happen in the appropriate timeframe, which appears to be the case, the disease progresses quickly. The key thing with cervical cancer is the three, six and nine years. In young women in particular it tends to be aggressive and not to be diagnosed early. I booked an additional...

Public Accounts Committee: Business of Committee (26 Apr 2018)

Kate O'Connell: The company needs to show what standard procedures it, allegedly, has in place should there be a break down in the system. The CervicalCheck database holds information on women of a certain age who avail of its service. Getting that information should be as easy as entering two parameters into the system and pressing return. The impact of untimely information provision in this case is...

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