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Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: I have no doubt we can get good value. My statement in August included a reference to "subject to getting good value" because even if there are only two companies——

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: If one signs a blank cheque, one will not get good value. Subject to good value and subject to the agreement of 80% of parents——

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: It will be a challenge to get 80% of parents to agree because other issues arise.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: If I can answer the question, we would then seek the money in the context of next year. In the context of next year, it became a question of trying to continue with the programmes we put in place. I am sure Deputy Kenny would agree that there is no point starting something new if we cannot sustain it. The best thing to do——

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: It was announced in good faith subject to those two caveats. The best approach is to ensure the screening programme will be fully operational next year, which will be achieved through an extra €25 million and the treatment plans. Many other European countries have not introduced the vaccination programme, for very similar reasons. It is a question of making clinical choices based on the...

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: The labour cost is €5 million. One must also consider the procurement stage for the vaccine. It costs a lot more in Ireland to have vaccines, as Deputy Reilly will be aware. Smear taking costs substantially more here than in the United Kingdom.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: It is because of the cost of staff and the manner in which people are remunerated.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: As Deputy Reilly knows, smear taking was put to tender among his colleagues and the prices submitted were substantially higher than those elsewhere — that is a fact.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: The cost to which I refer concerns public sector workers. I am not talking about the cost in respect of drug companies but of the cost of the labour of public sector workers.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: Irrespective of whether the figure for next year is €10 million, as Deputy Burton states, or €16 million, as the HSE states, I will not have it to introduce the programme next year.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: In respect of the following year, we cannot start a programme we cannot continue. We cannot give one shot of vaccine in 2009 and not give the two remaining shots in 2010. Everybody will agree that, if we start a programme, we should start it well and continue it. That is what we are doing with the screening programme and the cancer control programme. Deputy Perry should note the same...

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: ——which will be of equal merit in identifying those with cancers.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: We introduced the pneumococcal vaccine, which is to cost €30 million next year.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: I know that. I wish we could do everything but we do not have the resources to do so.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: We need infrastructure in the health service and capital allowances have proven to be a very cost-effective way of delivering infrastructure, particularly in the nursing home sector. Very many patients are in private nursing homes that probably would not have been built if it were not for encouragement through the tax system. It is not a question of "either-or". We cannot introduce the...

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: We must do both. Screening must be the priority.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: The Deputy raised many issues. I am satisfied that Galway University Hospital will have the capacity to deal with the patients from the north west.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: It will when the transfer takes place.

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: The roll-out of BreastCheck will happen in the north west as quickly as possible——

Cancer Vaccine: Statements (6 Nov 2008)

Mary Harney: Regarding Professor Keane, his deputy, Dr. Hynes, has been to Sligo on many occasions and Professor Keane is more than happy to meet the clinicians, as the Deputy knows well.

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