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Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: As Ms Burke said earlier, the board "deemed" the operator to be competent.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: At that time.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: The fact is that the laboratory was not accredited through the standard or normal route. It did not apply to be accredited. It piggy-backed off its Dublin accreditation. The board did not step into that laboratory until last May.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: There were smears. The board was auditing. America is far away. Sandyford is only up the road.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Manchester is not too far away.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: I do not understand one aspect of what happened when the quality assurance people - this predates Dr. Doherty - were going over. If they had been sending off a truckload of smears to a woman in Honolulu or wherever, one might be able to see how they got away with it. I cannot understand how the accreditation body, in its official remit under the HSA, was able to go to Sandyford without...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: If someone from the accreditation body was auditing a laboratory in Sandyford or Kildare that was applying for accreditation for a new test, and he or she noticed that the laboratory had no accreditation for doing that test on behalf of the State the previous week, would that be the accreditation body's problem or would it be a matter for someone else? Does the accreditation body have a...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: No, I get all that. If the guy in Salford had not been historically accredited, what would the impact have been? What would have happened if the accreditation body had declined to provide accreditation on the basis that he did not apply for it when he opened his laboratory and he did not get in contact. If the accreditation body had said "No" on the basis that this was the first mention of...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Yes.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Okay. There is a second edition of the accreditation list on the website. Where is the first edition? I cannot seem to get it. We can see that at the time the May 2019 list was made, the Salford laboratory was accredited. The list does not say when the Salford laboratory became accredited. I know Deputy Kelly was hammering on about this earlier. If there is a second edition, there must...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: No, no.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Was it a kind of "trusted trader" thing? The accreditation body decided to trust the laboratory because it had dealt with it for years. I am trying to get to it. It is either technical or it is not. If the accreditation body is going to accredit a company - historically, retrospectively or otherwise - why would it do it in this way? Would it do so on the basis of corporate knowledge, for...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Yes, we have been there. This might be our fourth time around the block on this issue. I have asked a specific question. In May 2019, the Salford laboratory appeared in the second edition of the accreditation list. I want the first edition of the list.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: I asked earlier for any paperwork relating to how this decision was made. It does not make sense that the accreditation body would do this. It would make sense to me if it were done all the time, because then I could say it was part of a standard approach. The accreditation body has been in operation since 1985. It seems that in the middle of a serious health crisis involving cervical...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: There is no point in having processes and accreditation if people are not ticking the boxes and checking. There is no point going in with one's file to do quality assurance and going off for a cup of tea. One has to go in and check. That is the job.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Their job is to accredit. I cannot understand why Mr. McCallion has not been in touch with the Department of Education and Skills, which is responsible for the HSA, as I understand it. I think it falls within the remit of the Minister of State, Deputy Halligan. I cannot understand why Mr. McCallion has not been in touch with the other Department to point out that there is an issue because...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Mr. McCallion is suggesting that accreditation is not so important.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: There is no point having a cheap, fast whatever, with the results being returned, if the standard of the basic test is not what it should be. The rest of it is pointless in that case.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: They repeatedly said they could not find any evidence. They never said the laboratories were all perfect and that there was no need to worry about accreditation.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: I understand that Dr. Scally examined the matter and stated there did not seem to be any issue with any individual screener or individual laboratory. Nevertheless, if samples were sent to a non-accredited laboratory, that is completely wrong.

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