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Cancer Screening Programme.

Dáil Éireann Debate, Thursday - 2 December 2004

Thursday, 2 December 2004

Ceisteanna (2)

Liz McManus

Ceist:

2 Ms McManus asked the Tánaiste and Minister for Health and Children if her attention has been drawn to the recent survey showing that death rates from cervical cancer here now exceed those of Britain and Northern Ireland and its finding that the lack of a national screening programme is the most plausible explanation; the steps she intends to take to ensure the early introduction of a national screening programme; and if she will make a statement on the matter. [31860/04]

Amharc ar fhreagra

Freagraí ó Béal (15 píosaí cainte)

I am aware of the study referred to by the Deputy concerning recent trends in cervical cancer in Britain and Ireland. The study shows that mortality from the disease in Ireland increased by 1.5% annually up to 2001. Data provided by the National Cancer Registry for the number of new cases of invasive cervical cancer for the years 1994 to 2000 show no statistically significant increase.

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 €11 million has been provided by my Department since 2002 to enhance the laboratory and colposcopy services. The funding has enabled the laboratories to employ additional personnel, purchase new equipment and introduce new technology, thereby increasing the volume of activity and improving turnaround times for results.

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

The Health Board Executive, HeBE, 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 pilot programme, quality assurance, laboratory capacity and organisation and the establishment of national governance arrangements. The expert's report was submitted recently to my Department for consideration. We are now consulting with relevant professional representative and advocacy groups on the report as an essential input into the preparation of a detailed response to the recommendations. These groups are the Irish College of General Practitioners, An Bord Altranais, the Academy of Medical Laboratory Science, the Institute of Obstetricians and Gynaecologists of the RCPI, the Faculty of Pathology of the RCPI, the Women's Health Council and the Irish Cancer Society.

Additional information not given on the floor of the House

I am aware of the benefits of national population based screening programmes. Following the consultation process I have referred to, I will examine options for a national cervical screening programme. Any woman, irrespective of her age or residence, who has concerns about cervical cancer may contact her GP who, where appropriate, will refer her to the treatment services in her area. Appropriate treatment for women diagnosed with cervical cancer is available at major hospitals.

Does the Minister not accept that it is an abject failure of the Government that the screening programmes are either non-existent or totally under-developed, whether it is breast cancer screening or any other screening? In this instance, the screening programme promised but not delivered is one that saves lives. It is shameful that there has been an increase in the death rate from cervical cancer in this country of 1.5% per annum while in England the reduction has been 5% per annum and in Scotland 4% per annum. The overwhelming evidence is that this results from a universal population based screening programme. Will the Minister make it a priority of the Department to put this preventative measure in place in order that women's lives can be saved and that it does not mean that only women with money can be tested and screened? That is what is happening at present.

Will the Minister put in place a timeframe? She again referred to consultation. Wry smiles are brought to many people's faces when they hear this new Minister for Health and Children refer to consultation.

A question please, Deputy.

Would she not accept that the former Minister, Deputy Martin, used consultation as a cover for lack of action and that people are deeply cynical when they hear the word "consultation" being used in respect of the health service?

There is no doubt that I am a great fan of population-based programmes in respect of this and other areas. As regards consultation, a commitment was given to consult, and I do not think it is a bad idea to do so. In the earlier debate on the new HSE, which took place in a different forum, it emerged that most people are strong fans of a consultative process.

It dates back to 2000.

Yes. We put our first screening programme in place in 2000.

Deputy Noonan, as Minister at the time, was responsible for that.

The Tánaiste to continue, without interruption.

Deputy Noonan announced it in 1997 but, as with many other announcements, no resources were put in place in respect of it. We are spending a great deal of money on health care. We have trebled the figure in this regard in recent years. There is a number of priority areas and the evidence clearly suggests that where there is early intervention, great success follows. I refer here to many aspects of cancer care. I want to engage in discussions to see how the facilities can be rolled out. We also have a breast screening programme and although the age category is somewhat different, there are many similarities. We want to see how best we can roll the programme out, while recognising that we must be conscious of resource implications and ensure that it is done in the most cost-effective way.

Will the Minister indicate a timeframe for that?

I hope, if not by Easter then certainly by next summer, to have made decisions in respect of how to proceed in this area, in that of breast screening and also with regard to some male related cancers in respect of which there have been some good results.

Is the Minister going to change the breast cancer screening programme?

No. I want to identify how to proceed before we continue with the roll-out. For example, should we run two parallel screening programmes which would sometimes deal with the same group of women or is there another way to proceed? I want to do things in a way that is efficient from a cost point of view in order that we can proceed as quickly as possible.

Cost will determine how it operates and in the meantime people will die.

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