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Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Will I just leave? My point is that there is a requirement for a quality assurance review. It was quite obvious within the HSE and there was a failure there to notice this, which is obviously a process failure and a failure of management.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: The decision was at a political level rather than-----

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: To summarise, I think it was ultimately a political decision rather than political as in party political or ideological. I have some questions and I am going to run through them so that the witnesses can answer at the end.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Incidentally, Mr. Naughton's intervention with Deputy Donnelly was very worthwhile-----

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: -----for the people watching. I asked earlier about the 209 and the trend in the audit. There were catastrophic differences between P2s and P9s. Given the witnesses' professional expertise, I ask whether a quality audit should have been carried out by the HSE. I ask all six witnesses for a "Yes" or "No" answer at the end. I am not trying to catch anyone out. I just want the...

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Exactly.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I asked the same question of all six witnesses on whether the HSE should have conducted a quality audit when it saw the returns. I asked for a "Yes" or "No" answer.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: It did not happen.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: No, it did not happen. We have asked this question before. It did not happen after the audit. The women were not even told.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: It was a management failure that it did not happen.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: How quickly will we be able to do HPV testing?

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Are we talking years?

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Oh dear, that is-----

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: We will move on but can I have my questions answered? There is the question regarding the sum from a laboratory point of view.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: It is available publicly.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I referred to diagnosis after a previous smear that recommended repeat cytology, 11%, and 123 of the cases in sum. Is there a scientific reason that the witnesses are aware of?

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: That is no problem.

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: I welcome the delegates. As a public representative, I take every opportunity to remind people of how successful and important cancer screening is. I even wrote an article on it for a Sunday newspaper. However, as a public representative, I also have a role in getting to the facts. Unfortunately, this comes under the same tiered structure in the HSE which has let down many women. We...

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: We know about issues at screening level and that everything is not perfect. We know about Ms Melissa Hamilton and Ms Eileen Fennessy. We know from information made available several days ago that the State Claims Agency has stated there are four cases pertaining to BreastCheck. How many letters of apology have been issued by the HSE regarding incorrect readings since the BreastCheck...

Joint Oireachtas Committee on Health: Cancer Screening Programmes: Discussion (23 May 2018)

Alan Kelly: Is there complete two-way sharing of information?

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