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Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: Is it not unusual that, when it comes to people's lives, medicine and testing, the pathologist who looks at this in the UK is not the signing laboratory? When this is sent to a doctor in Mayo, Sligo or anywhere else he or she just sees "MedLab, Sandyford" and the signature of the pathologist based at that location. Is that correct?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: My information is that it is the case. Mr. Gleeson needs to revise that immediately and inform GPs as to who did a test and what pathologist looked over it. It is extremely poor practice to have a pathologist doing work in the UK, or anywhere else, while a pathologist based here signs off on it without a re-examination of the results. I do not want to create hysteria or additional worry...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: I appreciate that, but on the general practice, as I watch this whole thing develop, I have to say that we are going further in a direction in which accountability will be lost in clinical decision making and opinion. With no medical training and just applying basic common sense, I would say that someone should not be signing off on my work unless he or she is aware of its quality. It...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: When Dr. Holohan finds the answer he should state it publicly and not wait to come back in here. People need to be assured about this.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: I know from Dr. Holohan's biographical information that he is the chief medical adviser to the Government. As I have asked in various fora already, I ask that as quickly as updates are available Dr. Holohan and the Taoiseach make some public utterances and put a few pounds into giving people out there assurance, as was done for Storm Ophelia, as opposed to waiting for information leaflets or...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: I have five more minutes. Great.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: I am sure RTÉ would be delighted to give the airtime to Dr. Holohan and the Taoiseach if they were to do such things. It would be very worthwhile.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: I have a last question. In terms of other screening programmes, have anomalies arisen in terms of testing and false negatives, which I know are different in other programmes? What communications protocols have been followed? I very much hope the answer is "No" to this next question. Was it the same process of preparing reactive media statements rather than contacting patients? Whoever...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: We are paid by the State on a constant basis and we have work to do so we do not wait for Dr. Scally. It is good that the HSE will be co-operating with him, as will we, but I am looking for answers today. Have any issues arisen in any other screening programmes such as, for example, BreastCheck? I hope they have not. If they have, are we operating a communications process similar to the...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: There are differences in testing of course. They are different types of test.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: There have been no anomalies or anything like that highlighted in any of the other screening programmes. There are not four memos going around talking about pausing letters and so on.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: There is no discussion of media strategies or any of that.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: Will Dr. Coffey check for us?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: The HSE might make a public statement on that as well in order to again assure women and patients throughout the country.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: A point was raised at the committee meeting yesterday which was attended by Vicky Phelan and Stephen Teap. I do not know if it was covered earlier as I have been in and out of this meeting. If the issue was covered then please stop me and I will move on to my other questions. The point was about looking at the efficacy rate in various laboratories, the percentage of tolerable error and if...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: Was this covered earlier?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: Would the witness like to cover it again? I am sorry for missing the response. An error is an error is an error. One error could be a typo but another error could lead to catastrophic events. Are we just looking at this statistically or are we analysing the impacts of different types of errors that are being shoved into the statistical percentage that is acceptable in international best...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: Dr. O'Keeffe mentioned that earlier on but I wondered if Ireland just takes the international statistics and practices as the way to do it or if we look at it in a little more detail.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: Ireland could be pioneering in this regard and show the world how it should be done.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Marc MacSharry: I think we know the answer.

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