THE HSE has this week admitted that there is an internationally recog- nised difficulty in recruiting medical scientists with a specialty in cytology, vital in accessing cervical screens.
The admission comes as a Limerick woman, Elaine Price, reported how she had to wait 19 weeks for the re- sults of a follow-up smear in autumn 2006.
During a routine smear in 2005, CN2 cells (pre-cancerous cells) were found and she was told she would re- quire a colposcopy — a scraping of the cervix. Her doctor told her that an appointment would take weeks so she went private. Her follow-up smear in September 2006 took 19 weeks for a result. Both smears were sent to the cytology laboratory at University Hospital Galway.
All smears taken at the Mid West- ern Regional Hospital Limerick are sent to University Hospital Galway for analysis, while a portion of GPs from the mid-west send smears from their patients to the same hospital. The remaining GPs in the mid-west are directed to send the smears to Dublin.
A spokesperson for the HSE said that last year the cytology labora- tory at University Hospital Galway converted from the conventional cer- vical smear technology to a liquid-
based technology.
“This technology is in keeping with best international practice. This con- version involved a significant body of work and commitment from eve- ryone working in the laboratory. The process to convert the technology was a complicated one and it began in February 2006 and was complet- ed ahead of schedule at the end of paul etes
“All staff in the laboratory required training in the use of this new tech- nology and for the period of that training last year there was on aver- age a turn-around time of 10 to 12 weeks at the most. That has now been reduced and cervical smears are reported on within the four-week timeframe.”
The cytology laboratory at UHG is currently located in a prefabricated building which, according to the health service, “is of no relevance in terms of its functionality. The hospi- tal is at present finalising a brief for the development of a new laboratory for submission to the HSE Capital Projects Steering Group.
“The national required turnaround time is four weeks for a cervical Smear, from the time it 1s received in the laboratory to when the report on the smear is issued. Since the end of June 2007, smears . . . are reported on within this four-week timeframe,’ mel END a elereR