Written answers

Wednesday, 24 October 2012

Department of Health

Cancer Screening Programme

Photo of Michael Healy-RaeMichael Healy-Rae (Kerry South, Independent)
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To ask the Minister for Health his views on correspondence regarding bowel cancer screening programme (details supplied); and if he will make a statement on the matter. [46631/12]

Photo of James ReillyJames Reilly (Dublin North, Fine Gael)
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Plans for the implementation of a national colorectal screening programme are at an advanced stage within the HSE-National Cancer Screening Service (NCSS) and the programme will be introduced on a phased basis shortly. When fully implemented the programme will offer free screening to men and women aged 55-74 every two years. As 50% of cancers within this age group are found in people aged 60-69 the programme will begin with this latter age cohort (a population of approximately 500,000). The NCSS issued a set of Guidelines for Quality Assurance in Colorectal Screeningon 19 October to support the programme.

This is the first call/recall screening programme in Ireland to be offered to men as well as women. Organised population-based call/re-call screening for colorectal cancer is complex. In order to ensure quality and safety it is imperative that it is introduced in a carefully managed and monitored way. We must also ensure that risks to patients are minimised and best clinical outcomes are maximised. Over time the phasing of the programme will allow development of colonoscopy capacity to cater for the full 55-74 year old population.

The HSE-NCSS and the Special Delivery Unit in my Department have been working together to develop the appropriate capacity in colonoscopy services nationwide to support the introduction, sustainability and growth of the screening programme, while maintaining and enhancing the capability of the symptomatic endoscopy service. The focus is on improving quality and access at all publicly-funded screening colonoscopy units. This applies not only for those referred for colonoscopy as part of the screening programme, but for all men and women who require a colonoscopy or any other diagnostic endoscopic procedure. This will be achieved by building sufficient capacity in endoscopy services nationwide to sustain the implementation of the national screening programme, while maintaining and enhancing the symptomatic service.

Fifteen candidate colonoscopy units have been identified around the country to support the screening programme and these must achieve accreditation in order to provide colonoscopy services on behalf of the programme. The candidate colonoscopy units are: Cavan General Hospital; Connolly Hospital, Dublin; Kerry General Hospital,Tralee; Letterkenny General Hospital; Louth County Hospital, Dundalk; Mayo General Hospital, Castlebar; Mercy University Hospital, Cork; Midland Regional Hospital, Tullamore; Mid-Western Regional Hospital, Ennis; Sligo General Hospital; South Tipperary General Hospital, Clonmel; St James’s Hospital, Dublin; St Vincent’s University Hospital, Dublin; The Adelaide and Meath Hospital Dublin incorporating the National Children’s Hospital, Tallaght; Wexford General Hospital.

I regard the colorectal screening programme as a national priority. I am pleased that it will shortly commence, and I am committed to supporting it as it develops.

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