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Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I thank the witnesses for coming in this afternoon and for always making themselves available to answer questions. It is very welcome. The witnesses have said that CervicalCheck is a decent programme for an organised screening programme. That is true. I am more than happy to say that I am a beneficiary of that programme in more ways than one and am grateful for it in many respects. When...

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: It is regrettable that that documentation is not available. Dr. Denton referred to how well the screening programme compares with other programmes of a similar nature. However, those programmes may have more of an emphasis on quality. Am I right in saying that the things that work well in the programme are administrative details, such as the fact that every woman between 18 and 65 is...

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: It is one of the natural consequences of outsourcing. Once one goes down that road, one is constantly chasing the price rather than other matters. When something is outsourced, one's capacity to oversee quality assurance is also outsourced to a certain extent. We see a very hands-off approach to quality assurance. I do not mean this disrespectfully but this retrospective accreditation...

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: The information to which Dr. Scally had access did not include a laboratory-by-laboratory breakdown.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: Is such a breakdown available or did Dr. Scally just not feel it was necessary?

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: On that basis, we may never know if there were cluster errors. As it comes out in the end, on balance it would not be possible-----

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I am getting a big promotion. That is excellent.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I call on Deputy Kelly.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: The doctor will see you now.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: Deputy Kelly asked a very specific question about when Dr. Scally became aware. Will he address that?

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I call Deputy Durkan. We must move on.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: Time permitting, I will allow Deputy Kelly back in later.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I call Deputy Durkan.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: Before I come to Deputy O'Connell, I want to ask about the laboratories that were closed. Our guests expressed a view about whether there had or had not been any adverse incidents. Was that a result of an investigation or was it an impression?

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I will give the Deputy the same leeway I gave everyone else.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: We have unanimity on that one.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: Perhaps we could be told what grades the staff in question were serving at.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I think we will. I assure the Chairman that the meeting was ably chaired in his absence.

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: I am much more of a pushover. I gave everybody a lot of leeway. I share the horror of others regarding the failure of people who were on quality assurance visits to realise that they were not where they should have been or where the majority of tests were taking place. I do not know whether "horror" is too strong a word, but I will use it in any event. In the last line of his letter to...

Joint Oireachtas Committee on Health: Supplementary Report of Scoping Inquiry into CervicalCheck Programme: Discussion (4 Jul 2019)

Louise O'Reilly: Okay. I suggest that Dr. Scally's statement that he had no reason to revise the opinion was not a massive ringing endorsement. That does not matter. We know that a lot of information was missing. This meant that Dr. Scally could not necessarily make such a judgment. I presume the reference to "performance which is acceptable in their country" is based on an acceptance that there are...

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