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Health Services

Dáil Éireann Debate, Tuesday - 25 July 2023

Tuesday, 25 July 2023

Questions (1368)

John Brady

Question:

1368. Deputy John Brady asked the Minister for Health to provide an update on the national newborn bloodspot screening programme; the progress that has been made by the National Screening Advisory Committee to expand the programme; and if he will make a statement on the matter. [36742/23]

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Written answers

The expansion of the National Newborn Bloodspot (NBS) Programme is a priority for me, and the National Screening Advisory Committee (NSAC) has been progressing work on this expansion.

This independent expert group considers and assesses evidence in a robust and transparent manner, and against internationally accepted criteria. It is important we have rigorous processes in place to ensure our screening programmes are effective, quality assured and operating to safe standards, and that the benefits of screening outweigh the harms. As you will appreciate, these are lengthy and complex processes.

However, I am glad to note that significant progress has been made on expansion over the past year. Since May 2022, babies are now screened for nine conditions following a recommendation from the NSAC to add ADA-SCID to the Programme.

Building on this, in January 2023, I approved a further recommendation from the Committee for the addition of T-cell receptor excision circle (TREC)-based screening for all types of Severe Combined Immunodeficiency (SCID) to the NBS programme. The Committee made its recommendation to me based on their consideration of a comprehensive Health Technology Assessment report from HIQA.

 The HSE is now undertaking an extensive body of work to prepare for implementation. Provision for this addition will be included in the relevant HSE service planning processes in line with HSE budgeting procedures.

A Health Technology Assessment (HTA) on the addition of an eleventh condition to the NBS programme, Spinal Muscular Atrophy, is now underway by HIQA. It will provide evidence-based advice to NSAC and will inform a decision regarding the potential inclusion of SMA in NBS Programme. I am advised that the NSAC expect HIQA to complete this process over the coming months  and that the HTA will be presented to and considered by the Committee at a meeting before the end of this year.

I look forward to receiving a recommendation from the Committee following their consideration of the HTA once it is available.

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