Róisín Shortall (Dublin North West, Labour)
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Question 148: To ask the Minister for Health and Children the reason medical card patients are being charged for cervical smear tests; if her attention has been drawn to the fact that medical card patients are being charged €50 for such testing, which is vital for early diagnosis; and if she will take steps to ensure that medical card patients are provided with this service free of charge. [15549/08]

Mary Harney (Dublin Mid West, Progressive Democrats)
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Cervical smear testing is not currently provided by GPs or family planning clinics under the scheme for medical card holders. However, where cervical smears form part of recognised protocols for the ongoing treatment of individual patient illnesses, they should be provided free of charge to eligible women under the General Medical Services (GMS) Scheme. Any necessary follow-up treatment is available to all women, including medical card holders, within the public hospital system.

The roll out of a national cervical screening programme is the most efficient population approach to preventing and controlling cervical cancer. The National Cancer Screening Service (NCSS) is planning to roll out such a programme on a national basis around the middle of this year. Women aged 25 to 44 years old will be screened every 3 years; women aged 45 to 60 will be screened every 5 years. The service will be available free of charge to eligible women everywhere in the country. Approximately 230,000 women will be screened annually, assuming an 80% take up by eligible women. All elements of the programme — call/recall, smear taking, laboratories, colposcopy and treatment services will be quality assured, organised and managed to deliver a single integrated national service. Additional revenue funding of €5.0m was allocated to the NCSS in 2007 for the roll-out of the programme and an additional €15.0m has been allocated in 2008. An additional 30 posts have been approved to facilitate integration and roll-out of the programme.

Currently, my Department is preparing legislation to clarify and update existing legislation on eligibility for health and personal social services. The Bill will define specific health and personal services more clearly; define who should be eligible for what services; set out clear criteria for eligibility; establish when and in what circumstances charges may be made and provide for an appeals framework. As part of this exercise, a review of the assessment criteria for medical cards in the context of financial, medical and social need is being undertaken and is expected to be completed by autumn 2008.