Written answers

Wednesday, 23 March 2005

Department of Health and Children

Cancer Screening Programme

9:00 pm

Photo of Michael NoonanMichael Noonan (Limerick East, Fine Gael)
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Question 15: To ask the Tánaiste and Minister for Health and Children the steps she is taking to roll out the national cervical screening programme; and if she will make a statement on the matter. [9465/05]

Photo of Olwyn EnrightOlwyn Enright (Laois-Offaly, Fine Gael)
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Question 101: To ask the Tánaiste and Minister for Health and Children when the national cervical screening programme will be rolled out nationally; and if she will make a statement on the matter. [9462/05]

Photo of Eamon RyanEamon Ryan (Dublin South, Green Party)
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Question 111: To ask the Tánaiste and Minister for Health and Children if, in view of Ireland's high rate of invasive cervical cancer, she plans to act on the report commissioned by the Health Board Executive (details supplied) which recommends that in order to achieve an 80% reduction in cervical cancer in the Irish population, there is a need for an organised population health-based programme rather than continuance with opportunistic screening. [9444/05]

Photo of Mary HarneyMary Harney (Dublin Mid West, Progressive Democrats)
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I proppose to take Questions Nos. 15, 101 and 111 together.

I am committed to the national roll out of a cervical screening programme in line with international best practise. International evidence demonstrates the proven efficacy of programmes that are effectively managed and meet quality assurance standards. Careful planning and consultation with relevant professional and advocacy stakeholders is required before I make definite policy decisions on a national roll out.

The former Health Board Executive commissioned an international expert in cervical screening to examine the feasibility and implications of a national roll out of a cervical screening programme. The examination included an evaluation of the current pilot programme in the mid western area, quality assurance, laboratory capacity and organisation and the establishment of national governance arrangements. The expert's report was published on 14 December 2004. My Department is now consulting the Irish College of General Practitioners, An Bord Altranais, the Academy of Medical Laboratory Science, the Institute of Obstetricians and Gynaecologists of the Royal College of Physicians of Ireland, the faculty of pathology of the Royal College of Physicians of Ireland, the Women's Health Council and the Irish Cancer Society. The consultation with these key stakeholders is well advanced and will be completed in a matter of weeks.

The number of smear tests carried out annually is approximately 230,000 and represents an increase of almost 20% in recent years. To meet this increased demand additional cumulative funding of approximately €14.5 million has been provided by my Department since 2002 to enhance the laboratory and colposcopy services.

The pilot cervical screening programme commenced in October 2000 and is available to eligible women resident in Counties Limerick, Clare and Tipperary North. Under the programme cervical screening is being offered free of charge to approximately 74,000 women in the 25 to 60 age group, at five year intervals.

In addition, my Department allocated a further €1.1 million to the programme on an ongoing basis to complete the transition of the remaining laboratories to new and more effective testing and to support the development of quality assurance and training programmes. These are essential preparatory elements in a national roll out.

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