Written answer
Health Screening Programmes
The Government is considering extending BreastCheck eligibility beyond the current 50–69 age range, with HIQA conducting a Health Technology Assessment on ages 45–49, 70–74 and breast-density notification. Any changes will follow evidence-based recommendations from the National Screening Advisory Committee; symptomatic individuals should seek medical advice rather than await screening.
3605. Deputy Roderic O'Gorman asked the Minister for Health if her Department is currently considering changing the BreastCheck screening age or taking other measures to address the fact that a growing volume of younger women requiring symptomatic and surveillance breast care fall outside the screening age; and if she will make a statement on the matter. [57002/26]
Comment on this
As Minister for Health, I am committed to supporting our population screening programmes, which are a valuable part of our health service, enabling early treatment and care for many people, and improving the overall health of our population.
The Programme for Government commits to extending the ages for the BreastCheck Screening Programme, in line with updated standards from HIQA.
BreastCheck, the National Breast Screening Programme, currently invites women aged 50 to 69 years at regular intervals to have a screening mammogram. In Budget 2026, 20 (WTE) positions were allocated to National Screening Services, of which 10 were assigned to BreastCheck. In Budget 2025, an additional €2.9 million was allocated to the BreastCheck programme to support the recruitment of 22 Whole Time Equivalent (WTE) posts, with an additional 15 WTE posts approved. This will assist in expanding and future-proofing the programme to meet increased demand.
I would note that any proposed changes to Ireland’s cancer screening programmes, will be facilitated through established evidence-driven protocols.
The National Screening Advisory Committee (NSAC) is the independent expert group that considers proposed changes to Ireland’s screening programmes. NSAC assesses the evidence in a robust and transparent manner and against internationally accepted criteria, before making recommendations to myself as Minister.
At the request of NSAC, HIQA has commenced a Health Technology Assessment (HTA) to consider proposals for the expansion of the BreastCheck programme. This review will comprise two elements; the proposed extension of the age range eligibility to those aged 45-49 and 70-74, and also the potential introduction of a standardised breast density notification.
HTAs facilitate the assessment of relevant evidence and knowledge on the effects and consequences of healthcare technologies to guide decisions regarding the appropriate use of technology and efficient allocation of resources. They involve a multi-disciplinary assessment of the clinical, economic, ethical, legal and societal perspectives that may be impacted by the introduction of a new technology.
HTAs are time intensive and rigorous processes that must be afforded the necessary amount of time?to complete. This is particularly relevant in the context of the BreastCheck HTA, which is considering three distinct areas, the potential to increase the age eligibility, to decrease the age eligibility and potential reporting of breast density.
Finally, I would like to emphasise that population-based screening programmes are for people without symptoms. If anyone becomes aware of symptoms, or if they have concerns or worries, they should contact a medical professional.