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Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Today we will be dealing with matters related to medical negligence, open disclosure, CervicalCheck and thalidomide litigation. It follows our meeting on 10 May when we dealt with the State Claims Agency's financial statements for 2016, the cost implications of the CervicalCheck revelations and matters related to open disclosure. The Joint Committee on Health has engaged with Dr. Scally on...

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: CervicalCheck is a key issue. Separately, we recently wrote to the State Claims Agency about the overall bill facing the State as a result of medical negligence. To be upfront, we sought very extensive details of the breakdown of the figure of €2.4 billion for medical negligence claims. We have received some information today and I spoke to Mr. Breen earlier in the week. Some...

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: The figures are big. Mr. Breen has provided the figures per hospital, but he sees an issue in making the figures publicly available for the reasons he has outlined. We understand that and will discuss it again. The issue is that the figures are increasing each year. We are here to protect the interests of the taxpayer and would prefer the extra money that is being used to pay medical...

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: I will hand over to Deputy Kelly. It is an issue we will return to because the figure is so big. The Committee on Public Accounts has to look at this issue.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Would it be possible during the course of the meeting to obtain it? We will probably not finish before 1 p.m. Is there somebody here who could make contact, other than Ms Jackson, because she will need to stay here?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: The Deputy can ask them on behalf of the committee.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: We are asking that the information be emailed to the Committee of Public Accounts. It will be circulated it to members when it is received.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Could Mr. McCallion explain the word "colposcopy"?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Is it when women need a physical examination?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: I am only asking the question because I know some people do not understand the term.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Explain the RCOG review please.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Is that the review that is being done in London?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: I have an obvious question. Surely the solicitors submit excessively high bills in the knowledge that the agency will knock something off, in which case we are starting with an inflated figure?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Deputy Connolly has five minutes remaining.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Which breakdown is Deputy Cullinane referring to?

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: I wish to help the Deputy on that. In seven weeks' time, the financial year of the State Claims Agency, SCA, will end. The agency will have to put a figure for the CervicalCheck cases into its financial statements. Mr. McCarthy will audit that. The agency will need a system with some rigour in order to be satisfied with what it puts into its audit and financial statements. Without giving...

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: The HSE's financial statement provides the estimated cost.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: It is in both bodies' financial statements.

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: Surely the note should be reasonably-----

Public Accounts Committee: Matters related to Medical Negligence, Open Disclosure, Cervical Cancer and Thalidomide Litigation (8 Nov 2018)

Seán Fleming: In other words, how is the SCA going to produce well-founded figures to satisfy the Comptroller and Auditor General for 31 December, though he might not audit this figure in detail? Does it have a procedure in place for that?

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