Hundreds more recalled to hospitals over scans scare

Call-back of patients following concerns at how locums read colonoscopy scans widens

At Wexford General Hospital a review of colonoscopies carried out in the hospital, announced in February as part of the BowelScreen programme, has been doubled. Photograph: Joe St Leger

At Wexford General Hospital a review of colonoscopies carried out in the hospital, announced in February as part of the BowelScreen programme, has been doubled. Photograph: Joe St Leger

 

Hundreds of additional patients who had colonoscopies are being recalled as the controversy over the misreading of patients’ scans and tests in hospitals across the State widens.

At Wexford General Hospital, the size of a review of colonoscopies carried out in the hospital, originally announced in February as part of the BowelScreen programme, has been doubled.

Separately, Minister for Health Leo Varadkar has admitted further reviews of X-rays and other scans performed by three locum radiologists in a number of smaller hospitals will be necessary.

In Wexford, the review of colonoscopies is being extended to include a further 331 patients, on top of the 280 the Health Service Executive (HSE) first envisaged recalling. The review has also been extended to other members of the team under the consultant whose work was originally under examination. The consultant is not on active duty, according to HSE sources.

A relative of one patient who was diagnosed with cancer after being recalled by the Wexford hospital told The Irish Times yesterday that the hospital was unable to say whether it was a case of “missed cancer”, but it was being treated as one.

Recalled

The HSE has declined to say whether any cancers were missed until the review is complete. A spokeswoman said an additional 210 BowelScreen patients and 121 people who received diagnostic colonoscopies in the hospital had recently been recalled and appointments were being scheduled. “Every patient affected by this review has already been contacted and their GPs have also been advised.”

The extension of the review of X-rays is in addition to the reviews completed or still under way in seven hospitals where, as The Irish Times revealed yesterday, almost 8,000 scans have been re-examined and more than 120 patients recalled after medical colleagues raised concerns over the standard of work involved.

Mr Varadkar described the delayed cancer diagnosis that resulted for one patient as an “enormous tragedy” but advised against rushing to judgement on the standard of work by the three locums.

Reassurance

The extension of the review to further hospitals is necessary because it has been found that one of the locums also worked in other sites. “The HSE has initiated a process of reassurance regarding any other work carried out by the individual concerned. This is a precautionary measure,” a HSE spokeswoman said.

It has also emerged that one of the locum consultant radiologists at the centre of the recall was not on the specialist register of the Medical Council and should not have been assessing scans as a consultant radiologist in Cavan Monaghan Hospital.

The controversy over the thousands of reviewed X-rays provoked considerable friction between Mr Varadkar and the HSE. The Minister told a debate in the Dáil last night that he knew nothing about the issue before reading about it in the newspaper yesterday.

Fine Gael backbencher Fergal O’Dowd said the Minister was “badly served” by his statement to the Dáil though he reserved the blame for the HSE.

Referring to previous scandals involving misdiagnosis and delayed diagnosis in the health service, Mr O’Dowd said the latest controversy amounted to “déjà vu” and called for heads to roll in the HSE. “Either we’re hiring by Google search or we have proper procedures,” he said, in reference to the focus of the review on temporary staff provided by agencies.