Tag Archives: CervicalCheck

Minister for Health Simon Harris arrives for a cabinet meeting at government buildings, Merrion Street, Dublin 2 this morning.

‘I knew there would be no accountability’ – CervicalCheck victims’ ‘heartbreak’ as damning report details litany of failures (Independent.ie)

Cabinet to discuss Scally Review into CervicalCheck (RTÉ)

Yesterday: “Heartbroken”

Rollingnews

President of the Epidemiology and Public Health section of the Royal Society of Medicine Dr Gabriel Scally; Stephen Teap, whose wife Irene died of cervical cancer;  and Vicky Phelan, who has terminal cancer; a tweet from Mr Teap

This morning.

Further to leaks from Dr Gabriel Scally’s report on CervicalCheck to The Irish Times and RTE – in which it’s reported Dr Scally does not recommend a commission of investigation into the smear test scandal…

Simon Carswell, in The Irish Times, reports:

Minister for Health Simon Harris will seek to bring forward a briefing for those affected by the CervicalCheck controversy by 24 hours after they expressed anger at leak of parts of a report into the affair.

Mr Harris said it was “extremely regrettable” that parts of 200-page scoping report by Dr Gabriel Scally, the public health veteran, were published in The Irish Times and RTÉ ahead of the publication of his report tomorrow.

It was reported today that Dr Scally believed a commission of investigation was not required into the controversy, despite the stated view by Mr Harris that a commission be held into the controversy.

He said the report should be published and the views of “a very eminent expert” asked to investigate the controversy should be considered.

“All along I wanted them to be briefed first.”

…The Scally report, a 200-page document that investigates why women diagnosed with cervical cancer were not told about an audit revealing false negative smear tests, concluded a commission of investigation was not needed.

CervicalCheck: briefings on Scally report may be brought forward (The Irish Times)

Harris still plans to have CervicalCheck commission (RTE)

Rollingnews

UPDATE:

UPDATE:

Minister for Health Simon Harris

This morning.

On RTÉ’s Morning Ireland.

The Minister for Health Simon Harris was interviewed on RTE’s Morning Ireland by Dr Gavin Jennings.

Mr Harris told Dr Jennings he “truthfully” doesn’t know who leaked the report and that he intends to find out who leaked it.

From the interview:

Dr Gavin Jennings: “You made it crystal clear a number of months ago that there would be a Commission of Inquiry. In fact, to quote you, ‘I’m concerned there seems to be a view that there may be a commission or there won’t be a commission. Let me be very clear: there will be a C Commission of Inquiry and I would like to set up that inquiry in September’. are you going to set up a Commission of Inquiry?”

Simon Harris: “Well that is the factual position. The Government made that decision and as I heard [Labour TD] Alan Kelly correctly say the Opposition agreed with that decision and indeed those impacted called for that. So that remains the position. Obviously, when you ask an expert to do a report and remember this wasn’t just one very eminent doctor. It was Dr Scally with three other doctors, a senior counsel, a barrister at law – they’ve reviewed over 12,000 documents, they’ve visited the labs, the labs that have been much talked about and speculated upon, they’ve stood on the floors of those labs. They’ve interviewed all the key people.

“Obviously, he has arrived at  viewpoint, it’s not, as you correctly said earlier, it’s not a recommendation. It’s his personal view. So what I intend to do is let the report be published. Let Dr Scally speak to the report, meet with the Opposition, meet with some of those affected and impacted by this terrible debacle and then decide whether people feel there’s a need for one.

“But, absolutely, if there’s a feeling that there’s a need for one, that will be the case.

“The only people that can change that decision are the Government and the Oireachtas. But obviously, if a very eminent expert has been asked to look at this area and has made a view, I think it’s important that we at least let the report be published and consider why he arrived at that point.”

Jennings: “Just to quote you again. This is from June the 15th: ‘I believe that a Commission of Investigation is needed to get to the bottom of many of the issues – particularly issues in relation to accountability. Who knew what, where and when. That’s not Dr Scally’s job and Dr Scally is very clear on that’.”

Harris:  “Yeah and that’s exactly correct, I mean it wasn’t Dr Scally’s…as I heard Lorraine [Walsh] say very correctly, Dr Scally didn’t have powers of compellability. Having said that, Dr Scally has interviewed everybody that he wished to interview, is my understanding. But let’s, let’s just wait the 24 hours. Let’s see why Dr Scally arrived at that viewpoint. Let’s discuss it and debate it in the Oireachtas, and most importantly, with people impacted. We wouldn’t have a Scally Report tomorrow if it wasn’t for Vicky Phelan and her bravery. So I’ll also take very seriously, their views in relation to this.”

Jennings: “I may be misinterpreting you. When you said you were very clear there will be a  Commission of Inquiry and you were going to set up that inquiry in September, are you saying that’s less clear now. Are you going to wait to see what this report has to say?”

Harris: “Well it was my intention to set up a commission in September. That remains my intention. But we do need to see, I’ve heard, for example, I’ve heard Lorraine say this morning that she wants to see why Dr Scally arrived at that point. So I do think we should wait the 24 hours, let the report speak for itself, let Dr Scally speak to the report, and then lets decide as an Oireachtas and a Government what next steps to take in consultation with the women and their families who’ve been impacted…”

Listen back in full here

Ruth Morrissey and her husband Paul outside the High Court on Thursday

Earlier today.

Taoiseach Leo Varadkar was asked about terminally ill Limerick mum Ruth Morrissey, 37,  who will return to the High Court tomorrow – in light of him saying in May that no more women affected by the cervical cancer scandal would have to go to court.

Last Thursday, Ms Morrissey, who has cervical cancer and may have less than two years to live, began her action for damages against the HSE and two laboratories, Quest Diagnostics and Medlab Pathology Ltd.

Ms Morrissey  claims smear tests carried out in 2009 and 2012 were wrongly reported as being normal and that a review of these smears took place in 2014 and 2015 with the results being sent to her gynaecologist in 2016 – but she was not told until May this year.

She was diagnosed with cancer in 2014.

Further to this….

The Taoiseach told RTÉ:

“I am very sorry that she has cancer, I’m very sorry for her and her family, I’m very sorry it wasn’t picked up earlier on screening.

“I’m very sorry she wasn’t informed of the audit when she should have been and I really do hope that the treatments she’s getting is successful and it will extend her life so she can see her daughter grow up. I think that’s the most important thing.

“This is an ongoing court action, I’m not in hiding, but I’m sure you’ll understand that I am limited in what I can say about an ongoing court case. I’m not party to the case, some of the facts are confidential, some of the facts are privileged and I don’t want to say anything that might prejudice the outcome.

“But there are a few things that I can say. Certainly what the Government wants is that all cases are settled by mediation so the women can avoid a court trial – that is absolutely what we want. Two cases have been settled by mediation already without a trial.

“Mediation did occur in this case but wasn’t successful. And I spoke to the Attorney General on Friday, I think it was, to speak to the State Claims Agency, to ask that mediation be resumed, be recommenced with the view to settling this case out of court. And it’s hope that that can still be done.

“And that’s certainly, I think, what we want to happen. It is, however, and I acknowledge this, it is the constitutional right of anyone to go to court if they feel that’s in their best interests. And that’s a constitutional right and I perhaps should have been more clear about that, back in May, acknowledging that people have the constitutional right to go to court if they feel it’s in their best interests. And no Government can take that away, nor should any Government want to take that away.”

Meanwhile, earlier this morning…

On RTÉ’s Today with Miriam O’Callaghan, Limerick mum-of-two Vicky Phelan – who is to meet Mr Varadkar on Wednesday – said she is going to ask him to make good on his promise that women wouldn’t have to be “dragged” through the courts.

She said:

“There are another 40-something cases come down the line that are going to have to be taken. So are we going to have to see this at every case that is taken. So, for me, it is to go up there and ask the Taoiseach to make good on his commitment, basically, to the women of this country. Because if he doesn’t, I don’t think he should be in the position he’s in.“

RTÉ’s health correspondent Fergal Bowers told Claire Byrne, on RTÉ’s News at One:

“The point here is the laboratories and their insurers have a say also in this, as defendants. They have insurance against each claim certainly being made but they may wish to fight some cases and see how matters play out.

“So it was never in the gift of the Government to say cases wouldn’t go to court because it’s a complex situation and everyone has the right to go to court, including the plaintiff in these cases.

“So there were a lot of promises not realised here. Like promising the Scally review would be completed by the end of June, well that didn’t happen. And that the review of 3,000 smear tests would be completed by the end of May, that didn’t happen. Or that we wouldn’t see more cases like this going before the courts. These things have just continued.”

Mr Bowers said there are 49 pending legal actions in relation to the scandal.

Govt wants all misread CervicalCheck cases settled by mediation – Taoiseach (RTE)

Related: Justine McCarthy: Cancer probe delay is a cruel injustice (Justine McCarthy, Sunday Times)

Rollingnews

Ruth Morrissey (above) and her husband Paul (top) outside the High Court this afternoon

This afternoon.

High Court,Dublin

Limerick woman Ruth Morrissey, who has cervical cancer and may have less than two years to live, has begun her action for damages against the Health Service Executive and two laboratories.

Ms Morrisey, 37, claims smear tests carried out in 2009 and 2012 were wrongly reported as being normal and she was not told about this until earlier this year, despite the HSE knowing about it since 2014.

Of her prognosis, Ms Morrissey told the court:

“You have to dig really deep. You are not going to be the same person. I am not frightened to die, but I don’t want to.”

Ruth Morrissey: ‘I am not frightened to die, but I don’t want to’ (Irish Times)

Rollingnews









This afternoon.

The Spire, O’Connell Street, Dublin 1

Sinn Féiin President Mary Lou McDonald (pic 1 and above right) and Social Democrat co-leader Roisin Shorthall (pic 2) join a red-clad gathering offering comfort and support  to those impacted by the ongoing CervicalCheck/HSE scandal.

Thursday: Delay, Delay, delay

Yesterday: Unredacted And Searchable

Sam Boal/Rollingnews

From top: Dr Gabriel Scally, who is leading the scoping inquiry into the CervicalCheck/HSE scandal; Vicky Phelan

This morning.

Dr Gabriel Scally, who is leading the scoping inquiry into CervicalCheck’s screening programme has released a statement to say it “appears” that he now has access to files pertaining to his inquiry.

Yesterday, Limerick mum-of-two Vicky Phelan told Miriam O’Callaghan, on Today With Sean O’Rourke, that she had been speaking to Dr Scally and he was waiting on 2,000 files from the HSE.

Dr Scally has just released a statement, saying:

“As of today, it appears we now have access to documentation being provided to us by the HSE in a searchable format and with all redactions, apart from those relating to patient confidentiality, removed.

“We’re now checking this for completeness. This is a very welcome progress and will assist us in moving forward with our inquiry in a more time-efficient manner, I would like to acknowledge the co-operation of all HSE staff who have assisted in making this information available.”

Ms Phelan was recently awarded €2.5 million in a settlement against Clinical Pathology Laboratories in Austin, Texas – which receives outsourced smear tests from Ireland.

She was given a false negative smear test in 2011 and subsequently diagnosed with cervical cancer in 2014.

She was only informed of the 2011 misdiagnosis last year.

Ms Phelan now has terminal cancer.

Yesterday, she told Ms O’Callaghan:

“We’re still delay, deny, defend. And I spoke to Gabriel Scally earlier and he said he’s still being delayed with information. He’s waiting on 2,000 files. And everything is being put through lawyers. Why is that happening? I mean if they’re putting everything through their lawyers, there has to be a reason for that?

“And it’s heavily redacted so there is still a delay with this and it’s scandalous at this stage that we’re still no nearer the truth, how many months down the line.”

Yesterday, it emerged the number of cases involved in the CervicalCheck scandal has risen by 12 from 209 to 221, while the number of legal cases has risen to 35.

CervicalCheck scoping inquiry gets HSE files ‘in a searchable format’ (Irish Examiner)

Yesterday: Delay, Delay, Delay

Emma Mhic Mathúna at the Standing 4 Women rally outside Leinster House last night

A lawyer representing Emma Mhic Mathúna has told the High Court that the Health Service Executive is contradicting what has been said by the Taoiseach and the Minister for Health by defending the case taken by his client.

Senior Counsel Patrick Treacy said that Ms Mhic Mathúna, who is terminally ill following misreading of smear tests taken in the CervicalCheck screening programme, should have been brought in for a mandatory colposcopy following a smear test taken in 2010.

Patrick Hanratty, for the HSE, said it feels it is being pushed into an admission of liability before it has fully investigated the case and it understands that Ms Mac Mathúna has not even had time to fully prepare her case….

Mhic Mathúna ‘torment’ at HSE not accepting liability (RTÉ)

Last night: Making A Stand

Rollingnews

Further to the ongoing CervicalCheck scandal.

Dr Primum Non Nocere  writes:

I wanted to add my thoughts on the CervicalCheck scandal from the perspective of a doctor working outside of Ireland.

Without wishing to state the obvious I think that the handing of the cervical cancer audit is very poor by both CervicalCheck and the Government. The Government is doing damage limitation but I’m not sure they really understand the following:

Medicine is inexact. Smear tests are a screening programme. There will be misses.

CervicalCheck are at fault for the following reasons.

Fault 1: They should have told women there was a miss rate. Informed consent is important. Also, knowledge of the miss rate is a crucial part of the cervical cancer prevention process.

Knowledge of the miss rate stops women from ignoring symptoms in the belief that nothing can be wrong as their last smear test raised no issues. It also gives women the option of opting for more frequent smear tests, free elective colposcopy or HPV testing as a back-up.

Fault 2:
In addition to informing women that there was a miss rate, Cervical Check should have been able to provide these women with an accurate miss rate.

The CervicalCheck website currently states:

“A cervical screening test is not a diagnostic test. As with all screening tests, cervical screening may not always be 100% accurate. There is a small risk that cell changes will not be picked up in a test. However, any cell changes will usually be picked up in future tests. This is why it is important to have regular cervical screening tests.”

This doesn’t cut it in terms of information which should be provided to women. The words “usually be picked up” do not reflect the normal miss rate for cervical smear tests worldwide, which is significantly higher than this. No wonder these women weren’t concerned.

Fault 3: CervicalCheck wasn’t honest. If they were going to do an audit, they should have decided in advance what they would do with the outcome.

If they didn’t know, they could have looked to their colleagues in the United Kingdom. When an audit into cervical screening practices in Leicestershire disclosed that fourteen patients had died after missed smear tests, the NHS held a press conference, and published the results. Publication of cervical smear test audits disclosing false negative smears is standard practice in the UK.

Not every country can afford yearly screening, HPV testing or free elective coloscopies. It is a cost-benefit issue.

However informing women that medical tests are not infallible, that there is a miss rate for smear tests and providing them with an accurate miss rate prevents them from disregarding symptoms and gives them the information that they need in order to decide whether they should voluntarily opt for additional testing.

It is a crucial part of the screening process and its goal of saving lives.

Dr Primum Non Nocere is a doctor qualified in Ireland, currently practising abroad.

Yesterday: When Sorry Rings Hollow

Vicky Phelan, her husband Jim and her solicitor Cian O’Caroll, in background

This afternoon.

Cian O’Carroll, solicitor for Vicky Phelan and Emma Mhic Mhathúna, spoke to Áine Lawlor, on RTÉ’s Radio One.

Mum-of-two Ms Phelan and mum-of-five Ms Mhic Mhathúna are both terminally ill with cervical cancer. They both only recently became aware that previous smear tests – before their cancer diagnosis – wrongly gave an all-clear result.

Mr O’Carroll’s interview followed a report by RTE this morning, by the station’s Washington Correspondent  Brian O’Donovan, based on a statement from the US laboratory which settled a High Court action taken by Ms Phelan over an incorrect smear test result.

Mr O’Donovan reported that Clinical Pathology Laboratories said what happened Ms Phelan and her family was tragic and that it deeply regrets the outcome.

Mr O’Carroll described the apology as “insincere”.

From their interview…

Áine Lawlor: “Your two very brave clients who have been certainly touching the nation over the past couple of weeks with their honesty and their courage, Cian O’Carroll.”

Cian O’Carroll: “Yes, Áine.”

Lawlor: “Interesting though today, you were quite critical of the apology to Vicky Phelan from the US lab CPL. Tell us why.”

O’Carroll: “Well, it’s an apology which I understand RTÉ received through the laboratory in the US today – three weeks after that trial began, five weeks after they attempted to gag her with a confidentiality clause as a pre-condition to any discussions regarding the resolution of her case, through mediation outside court.

“It also doesn’t deal with the conduct, their conduct of the defence the case which has, quite rightly, come in for so much criticism since then. So I think it is an unacceptably late and insincere apology.”

Later

Lawlor: “What do you want to hear from Minister Harris this afternoon?”

O’Carroll: “Quite apart from the practical steps which he has alluded to already, we need to see a new team put in place. Obviously it’s going to be a new Chief Executive for the HSE but, beneath that, there needs to be a management team that is not tainted by the decision of the last six years.

“Because it’s over that six-year period that the senior management team, in the National Screening Service and in CervicalCheck, all agreed among themselves that not only should women not be informed of the vital information regarding their reviews and rechecks of their smears, but that no steps were taken to inquire into what was happening in the laboratories that was leading to such a significant level of misreporting of smears.

“Not a false negative situation which the department repeatedly refers to. A false negative is a smear that, when rechecked, is still negative. These are smears that, when rechecked, were found to contain significant underreporting of pre-cancer which then led to a significant delay in the commencement of treatment for those women.

“That’s an entirely different issue. And it is contrary to what the National Cancer Control Programme told the minister last month in a memo, it is a patient safety incident and one which they refuse to acknowledge and investigate.”

Lawlor: “We’ve been told consistently that there was no divergence between the, that there was  a consistency between the results from the US labs and the Irish labs. Do you believe that?”

O’Carroll: “That may be the case when it comes to true false negatives because there are other statistics here that come out of the laboratories and I presume they are analysing the results and obviously they’re comparing them with different laboratories. But I suspect, however, is there hasn’t been an open and honest analysis of the missed and incorrect reading of these smears.

“And I would be very, very surprised if it turns out that 209 significant under or delayed commencement of treatment for women is within an accepted norm internationally.”

Meanwhile…

From top: HSE chief Tony O’Brien and Independent TD Catherine Connolly at PAC yesterday

Independent TD Catherine Connolly, who is a member of the Public Accounts Committee and was at the PAC meeting yesterday which was attended by outgoing HSE chief Tony O’Brien, also spoke to Ms Lawlor.

Her interview followed Mr O’Brien tweeting this morning:

“When I appear in public – say at a Committee I conduct myself against a simple standard. Would I be happy for my children or my mother to see how I behave? I sometimes look across the room and hope their children will never see and hear how they behave.”

In relation to yesterday’s meeting – and the three memos which emerged at the meeting – Ms Connolly said:

“It was like pulling teeth. I don’t believe that I ever strayed from my brief, I simply asked questions and he confirmed that he was aware, he actually confirmed that he didn’t think there was anything to worry about, of concern, in one memo that he got.

“It turned out there were three memos and when we read those quickly, when we got them at 3pm, why it took until 3pm I don’t know, why he didn’t have them with him, is extraordinary, and the three memos are simply shocking.

“The first one, from March 2016, has simply ‘March’ on it, no specific date, it’s not signed. And it clearly is preoccupied with containing the message when eventually, eventually, down the road, the clinicians would see there way to telling the women and clearly containing that message.

“Now, and obviously, it’s been repeated a few times, pause all letters, don’t send them out, await legal advice and so on. And, as I read that, and thinking about it since, it’s clear to me, that they got advice, in relation, from a communications company which is a question I’ll be following up 

“Because that’s exactly what jumps off the page.”

Listen back in full here

Earlier: “I Find It Hard To Comprehend [Varadkar] Didn’t See Memo”

Yesterday: The March Memo

 

This afternoon.

A briefing note read by HSE chief Tony O’Brien in March 2016, four months before a final draft was sent to consultants.

Mr O’Brien has previously stated the first he heard about the cases was when he saw Vicky Phelan on RTÉ News last month.

More to follow.

Earlier: Alarm Bells

Unspeakable