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Dáil
‹ Leaders' Questions

BreastCheck extension for older women

Summary

Joan Collins presses the Government to fulfil its promise to extend BreastCheck screening to women aged 65–69. Noonan says he will convey her views to the Health Minister but gives no commitment, arguing the Government still has time to act.

The 2011 programme for Government promised an extension of BreastCheck to those aged between 65 and 69 years. As part of the Government's reform plans for the health service it was promised to roll it out at the beginning of 2014 but this has not happened. It was also part of Fine Gael's commitments before the election in 2011. The Irish Cancer Society has been asking the Government to extend BreastCheck to women aged between 65 and 69 years in the HSE's national service plan for 2015. If the Government keeps its promise and extends BreastCheck to women in this age group, 43,670 women will be invited to attend for free screening each year. We know that for every 500 women screened, one life will be saved, so this will result in 87 women's lives being saved annually. In the Minister's constituency it will mean four women's lives will be saved, given that there are 2,100 women in the age group in the constituency, and in the Taoiseach's constituency five women's lives will be saved.

The Minister for Health has stated it is intended to extend the upper age range for BreastCheck to include those aged between 65 and 69 years as soon as possible and with available resources. Will the Minister make clear to the Irish Cancer Society and the 43,670 women between the age of 65 and 69 years and their families what extra resources, if any, are needed for the extension and the cost of these extra resources? What plan does the Government have to put in place these resources in order that the life-saving service will be provided in the HSE's service plan for 2015? I am glad the Minister for Finance is here because he has an input.

Comment on this

I thank the Deputy for her submission. BreastCheck has been an effective method of identifying persons in a pre-cancer state who then have the potential of early intervention. It has been rolled out for various age cohorts in various geographic areas throughout the country. It is a progressive scheme. I have no doubt that as the scheme advances, the Minister for Health will take the Deputy's views into account. The resources of the health service must be used where they are most effective. There are many issues with regard to screening programmes, with which I am sure the Deputy is familiar. It must be treated very carefully before extensions are put in place. In general terms, what the Deputy has said is worth considering as soon as resources are available.

Comment on this

A promise was made by the Minister's party before the 2011 election, and it was part of the programme for Government, that the age group would be included in BreastCheck free screenings. Why has this not been done and why can the Minister not tell the Irish Cancer Society, the women in this age group and their families that he will seriously commit to the promise in the upcoming budget and provide for it in the HSE's service plan for 2015? The Minister pulls the strings, he knows this is needed and the Government promised it so why is he not here stating the Government will seriously commit to introducing it in the 2015 service plan? HIQA has stated it is the most effective method and recommended extending BreastCheck to women in this age group. The EU advisory committee on cancer prevention recommends asymptomatic women aged between 50 and 69 years should be screened every two to three years. All medical expertise states regular screening is the most effective way to prevent women dying from breast cancer. Will the Minister state the Government will seriously consider introducing this in the 2015 service plan?

Comment on this

The mandate of the Government runs for another year and a half so there is no breach of any commitment in the programme for Government arising from this.

Comment on this

It was supposed to be 2014.

Comment on this

I understand the points made by the Deputy. When I was Minister for Health I brought forward the first breast screening programmes and I understand how they are organised. I will speak to the Minister for Health and tell him the Deputy's views on this issue.

Comment on this

What about the Government's views and the Department's views?

Comment on this