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Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: That is in the notes we have. The first that anyone in this room, in the HSE, CervicalCheck or the Department, became aware was in July 2017. From October to July, there was no knowledge of any issues with clinicians not relaying that information.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: What did the witnesses do with that information?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: That would have been Professor GrĂ¡inne Flannelly. Then it comes back to CervicalCheck. Was that the first time that Mr. Gleeson was aware of an issue with clinicians not informing their patients?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: When did Mr. Gleeson become aware?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: So between October and July, Mr. Gleeson would have been aware that there were some issues but that it was not a major issue and it was not until July, when he got the correspondence from Limerick, that he realised it was a major issue.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: In July 2017, was it not escalated further up the line that there was a major issue?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: That was in relation to how many women? Was it three women?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: Yes, which was three as far as I am aware.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: That was because it was in the correspondence we just received. It states there were three women and that he gave an undertaking, reluctantly from my reading of it, to engage with those three women. I wonder how, in July 2017, the issue of three women became a major issue. How did three women with one consultant escalate to almost 80% of women not being informed? At what stage did people...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: That still does not answer-----

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: We now know that approximately 80% of women were not informed through their clinicians.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: We have been told that in July 2017 a concern was raised by one consultant in Limerick. I stand corrected, but the information we received less than two hours ago states that was with regard to three women. I am open to correction but, as I said, I just read it the same as Deputy Kelly did. It is my understanding that it is in relation to three women. The consultant agreed reluctantly to...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: When did people in this room become aware it was widespread and that up to 80% of women had not been informed through their clinicians?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: In July.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: This year.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: So nobody was aware in CervicalCheck, the HSE or the Department that women were not being informed through their clinicians. That is what I am being told now. If that is not the case, someone correct me.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: This is an important question. We have people from the Department, the HSE and even communications in the HSE and CervicalCheck, and nobody in the room was aware that up to 80% of women were not being informed through their clinicians until the Vicky Phelan case became public knowledge. Is that what I am being told by everyone in this room? If that is not the case, then somebody please...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: That is-----

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: That is astonishing. It is unbelievable that a process was put in place for clinicians to inform their patients and nobody followed up on it to see whether it was happening. It fell off the agenda in October. Everyone was happy with the process. Who was responsible for following through on this? Who was responsible for checking that, as Mr. Gleeson put it, the loop was closed and...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed)
2016 Financial Statements of the State Claims Agency (Resumed)
2016 Financial Statements of the HSE (Resumed)
(17 May 2018)

Jonathan O'Brien: I will make it easy. Was it Mr. Connaghan's responsibility?

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