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Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: I wish to follow on from Senator Burke's comments about the impact of screening on the population's health. Perhaps it is not Dr. Doherty's area, but my understanding is that before the start of the cervical screening programme ten years ago we had the highest rate of cervical cancer in Europe, and we had done nothing to try to impact on that. I think Dr. Walker said at the private briefing...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: Go for it.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: It is important that that message is gotten out there in terms of how aggressive cervical cancer is, the population it affects, that it has life-changing impacts and that despite the best efforts, somehow we still have a system that is fit for purpose.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: It is worth noting as well the ethical challenges she faced at the time and the different space we were in as a country. There was a lot of resistance to funding for this area, and there was a lot of hearsay and all sorts of carry-on that was very hard to battle. I know that Senator James Reilly was instrumental in bringing the truth of the situation to the fore as well. To go back to...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: There was no default position of concordance. That is something that came out of yesterday's meeting. I do not really know why, but it left me uncomfortable and last night I was wondering if the results are as I read them initially. In terms of the labelling issues, there is continuous reference to the idea that a person would be as likely to win the Euromillions as to have this happen...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: I just want to make sure because certain things are coming that are not being discussed fully and then assumptions are being made publicly. All of this damages the screening programme. I thought the whole point was to have an adequate screening programme. Lorraine Walsh spoke yesterday about oncofertility and lymphedema These are the side-effects of surviving a devastating illness. There...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: There is this interview on Friday. There is somebody interviewing for a post.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: In terms of fertility treatment or matters of that nature, is there even the genesis of a plan?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: It is people like Donal Brennan who are interfacing with the patients who have survived and who have, perhaps, had their life plans altered. A bit like engaging with patient groups, we have to talk to the people it affects. I imagine that people in the Department and, from our perspective, in here can be very removed from the process. One has to interface with patients in order to hear what...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: I am fully aware of that through my work on this committee. People often get a quick and unexpected cancer diagnosis. They often then fall foul of interventions such as having their eggs frozen in short order and money is taken from them in a frenzied situation where there is a lack of information. If cancer patients are being supported in this way, it has be structured with clear evidence...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: Lorraine Walsh told the committee yesterday that she wants to stop looking back and instead look forward and she wants us to work together. This has been a testing time for many of us on the committee. Our job is to interrogate what went wrong. I know it has been difficult for many of the witnesses and many staff working in the system. I ask them, however, to understand where we are...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: There does not have to a question.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: Who is Deputy Smith referring to?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: If a charge is going to be made-----

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: Can we de-anonymise the charges please?

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: I am not short on time.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: I do not think I will dignify it with a response.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: The RCOG witnesses have left. There was an assumption that all of the missing slides were discordant but Professor Kitchener stated in one of his responses that it is not known if they were discordant because they are missing. As he is not here to clarify that point, perhaps Dr. Henry would do so. Am I correct that the point he was making is that inclusion of the missing slides would not...

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: I thank Dr. Henry.

Joint Oireachtas Committee on Health: Royal College of Obstetricians and Gynaecologists Independent Expert Panel Review into Cervical Screening: Discussion (18 Dec 2019)

Kate O'Connell: He clarified that the default position was not concordant.

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