The above posters are correct in that the Cervical Cancer Screening programme is currently being operated on a pilot basis in the HSE (Mid-Western) Area. The Dept. of Health confirmed to me last week that the Department are now in the process of discussing options for the further roll-out/expansion of the programme with the Health Service Executive.
All women in the pilot area among the target group (25-60) are offered free screening. Women outside of the target group age 25-60 in the pilot area (even those with medical cards) are not offered free screening, save where clinical need recommends.
I might also clarify that cervical cancer screening is not provided free of charge generally, to medical card holders anywhere. However again, where individual clinical need recommends screening, (i.e., if a medical card holder has a history or family history of cervical cancer) then this is available for medical card patients.
GP Visit Card holders have only an entitlement to free GP visits and cervical cancer screening (is not, to my knowledge anyway) available free of charge to GP Visit Card holders.
As with Breastcheck, participation in the cervical cancer screening programme is voluntary and you are free to choose not to participate if you wish.
Some of the reaons why the screening programme have not been expanded nationally I believe relate to forthcoming changes to the overall scheme following the pilot project and it's evaluation, the size of the extended target group (25-60 years for a national cervical programme) versus Breastcheck's (50-64 years), the recent and forthcoming changes in HSE structures, etc.
Like other posters, I would recommend that anyone who has a history of cancer (cervical cancer or any other other), or has any concerns about these conditions, you should speak to your family doctor.
If I hear anything else, I'll post again.
CMCR.