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Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Was it a different person from the one who would not come and give evidence?

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: My understanding is that before Dr. Doherty's time, there was an independent doctor, an assistant pathologist who did not deal with Dr. Scally at all and who has not formed any part of the report. It was a new independent doctor.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: I believe I am still behind Deputy Kelly's time. I would have to go on for half the day. Will the Chairman let me finish? I am nearly there.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Dr. Doherty travelled over with the independent consultant, the QA person, and who else? Dr. Doherty was leading the team.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: In respect of the paperwork, did the doctor go over with a file and tick boxes? Is there a formal process and does the doctor come back with a report?

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Was the process created by Dr. Doherty, or did she just pick up the empty file and travel over? Did she set up this new way of engaging in quality assurance?

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Did anybody here today make quality assurance visits before Dr. Doherty came on board?

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Can we have the list of the names of people who made quality assurance visits in the past 12 years and be told when they went, for how long the trip was and who paid for it?

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: That is fine. How many went because Dr. Doherty was able to manage with three or four people, but prior to that, there does not seem to have been any quality assurance expert. I do not think I am wrong in saying the assistant pathologist doctor who was externally employed has not engaged with the Scally inquiry. When will we receive that information? It must be very clear from the diaries.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: In response to my earlier questioning Ms Burke said that the ISO accreditation was to the organisation, but that is not true. It is to the test; is it not? I just had a look and it is specifically to a test. I was confused about it when she was giving me answers before the break. The INAB, does not give ISO accreditation to Durkan Limited; it is specifically for tests taken on.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: The INAB website shows the schedule of accreditation. What Ms Burke said earlier was incorrect. It is not the organisation; it is for a specific test that the organisation will carry out. There is a distinct difference there.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: Therefore, the INAB accredits the company to perform X test.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: If it wants to take on Y test it must reapply.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: In the case of the Salford lab, no one phoned the INAB to get accredited. It did not notice when it was doing its annual audit in Sandyford. The guy in Salford was operating for nine months before the second guy was taken on. It must be lucrative. When I read the report for what must have been the fifth time last night, I found out that the lab guy relocated from Sandyford to Manchester...

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: That is on day one.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: That is how the INAB justified it.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: It justified it by saying that the lab in Dublin that was accredited was accredited to do that test in Dublin and therefore the INAB retrospectively deemed it acceptable that it was accredited to do it in Manchester.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: No, we have been through that.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: It was based solely on evidence.

Joint Oireachtas Committee on Health: Update on the CervicalCheck Screening Programme: Discussion (18 Sep 2019)

Kate O'Connell: I would argue that the evidence in question is the evidence the board has today. If it went back, perhaps the evidence would have been different. It is an informed historical accreditation based on the documentation that the board has.

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