Jack Quann
Jack Quann

11.40 10 May 2019


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A group has said that there must be realistic expectations of cervical screening.

The Institute of Obstetricians and Gynaecologists was responding to a High Court judgement last week in the Ruth Morrissey case.

She was awarded €2.1m after her smear test results were misread and she is now terminally ill.

Ms Morrissey and her husband Paul were awarded damages after suing the Health Service Executive (HSE) and two labs - Quest Diagnostics and MedLab Pathology Limited.

Mr Justice Kevin Cross said that if her 2009 smear had been properly analysed and her 2012 slide was deemed inadequate, what probably would have followed meant she would never have contracted cancer and would not have less than two years to live.

The High Court heard that two of Ms Morrissey's smear tests were read incorrectly - in 2009 and 2012.

She was diagnosed with cancer in 2014.

It was further claimed that she was not told about a review of her smears until last year.

The Irish Times reports that there is a serious concern that the ruling could double the €30m running cost of the Cervical Check programme, based on the litigation costs arising from additional cases.

Lead clinical director of BreastCheck, Anne O'Doherty, has said there are no medical tests that can trusted with absolute confidence.

"If we're going to transpose this kind of edict into other screening programmes, we simply couldn't afford to have screening programmes.

"And that's very sad, because we won't reduce the mortality - the number of women dying - as a result of screening programmes.

"But if we can't accept as a population that our screening tests have a failure rate, then it's not acceptable for us to screen".

Commenting on the judgement, the Institute of Obstetricians and Gynaecologists said: "The members have concerns for the implications to a life-saving screening program.

"Cervical screening exists to reduce the burden of disease through repeated smears with secondary referral of selected women.

"There are worldwide accepted limitations to the smear test.

"There must be realistic expectations of cervical screening if clinicians are to continue to deliver a service which has shown continued reduction in cancer cases since inception."

"Limitations of screening"

Professor Mary Horgan, President of the Royal College of Physicians of Ireland, has called for full support for the screening services.

She said: "Screening Services in Ireland, including the CervicalCheck programme, have saved lives.

"Since the inception of the CervicalCheck programme, the incidence of cervical cancer has fallen on a yearly basis with over 50,000 high grade precancerous lesions detected and treated.

"Recent events have highlighted the limitations of screening and as healthcare professionals we are committed to supporting these essential services".

cervical Professor Mary Horgan, president of the Royal College of Physicians of Ireland, at a press conference in Dublin | Image: Leah Farrell/RollingNews.ie

Prof Horgan added: "The recent High Court judgement that references the cervical screening service requires careful consideration in terms of its impact on this service, other screening services and its broader implications for medical practise.

"As medical professionals, our goal is to ensure the highest attainable standards of care for our patients and for our screening population - patients are entitled to this.

"However, to account medical practise and particularly screening services to a standard of 'absolute confidence' is a significant concern.

"A degrees of uncertainty is inherent in all medical testing and medical professionals balance all elements of this uncertainty on a daily basis for the benefit of the patient."

She said medical professionals are "extremely concerned" that if all false negative screening tests are deemed as a breach of care within this legal system, "this will seriously undermine and potentially negatively impact the viability of all screening programmes."

Main image: Limerick woman Ruth Morrissey addressing the media outside the High Court in Dublin, after it ruled in her favour in her case against the HSE and two US laboratories | Image: Leah Farrell/RollingNews.ie


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Anne O'Doherty BreastCheck Cervical Check Cervical Screening Institute Of Obstetricians And Gynaecologists Mr Justice Kevin Cross Ruth Morrissey Ruth Morrissey Case

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