The man in charge of the CervicalCheck inquiry says there were indications it was a system ‘that was doomed to fail.’
Dr Gabriel Scally’s report into the scandal has been published this lunchtime.
He found there was a ‘whole systems failure’ but he said there was no evidence of a conspiracy, corruption or cover up.
More than 200 women weren’t told about an audit showing their smear results had been read incorrectly.
Dr Gabriel Scally has heavily criticised the manner in which they were finally told about it.
Dr Scally also found there were problems in each and every one of the areas he looked at and how information should be disclosed to patients.
Health Minister Simon Harris acknowledges women have suffered because of this.