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Sean McGovern

@smcg600

Working in ED you need resilience supporting @LUFC is life long training for the same. Tweeting in a personal capacity. Retweets are not endorsements #FOAMed
Belfast, Northern Ireland Joined January 2014
1.3K Following 2.7K Followers 10K Posts

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Sean McGovern @smcg600
This is what decency sounds like amplifying the good in others independent of “ their flag” to educate all to the hidden risk of bowel cancer ! Thought provoking on several levels. Thank you !
A quiet intruder

Portaferry is a small place, and it has had a very large loss. Ciara Mageean died on 1 November, aged 34, and was buried on 3 November. Young players from Portaferry GAC formed a guard of honour for her. Camogie was where she started, at that club, in a family that lived for hurling and camogie.

To the world she was a champion. To the people who loved her she was Thomas's wife, Catherine and Chris's daughter, and sister to Máire, Nuala and Brendan. They have lost the most. If Portaferry is like any other small town, I'm sure they have good neighbours around them.

In her last year she became the public face of a disease most people keep private.

Bowel cancer is a quiet intruder. The symptoms are easy to explain away and awkward to mention. Ciara was an athlete, used to an unsettled stomach, and she found sensible reasons for what she was feeling, as most of us would. In May 2025, aged 33, she got her answer, and it was the worst one: stage four. That means the cancer has spread to distant parts of the body, in her case the liver and lungs. At stage one it is still inside the bowel wall.

It is mostly a disease of older people. About 1,300 are diagnosed each year in Northern Ireland, and around 6% of them are under 50. That share is small, but across the UK the diagnosis rate for 25 to 49-year-olds has gone up by more than half since the early 1990s. And in England, if it is caught at stage one, around nine in ten people live at least five years.

She didn't hide any of it. She talked about it on the radio and on podcasts, and wrote a book, My Greatest Race. She told people what her oncologist had said about how long she might have, and admitted she probably shouldn't have googled the survival rates. She married Thomas Moran in Belfast and wanted it to be a normal day, not a hospital bed in a wedding dress. I have seen the photographs. They are lovely, and they are also the pictures of a woman who knew how little time she might have.

She was a beautiful young woman.

Health campaigns struggle to get people talking about bowel cancer. She managed it just by being honest. Here was a fit, young, well-known athlete with the disease so many still think happens to somebody else.

I assume I have little in common with the Mageean family, because I stand under a different flag. But I'm a parent, and my child is not far off Ciara's age, and I can't begin to imagine losing them. Every parent understands that grief, whatever flag they fly. I hope her family know they aren't on their own in it.

My own reason for caring is closer to home. My father came from a family not known for athleticism, and this disease took him as it took her. It's a strange sort of kinship, and plenty of families belong to it. My father died of bowel cancer, and so did his father and his twin brother. I'm over 50. I can't assume I'm safe.

If you've noticed blood, a change in your bowel habits that lasts, weight loss you can't explain, or constant tiredness, see your GP. If bowel cancer runs in your family, tell them straight out and ask about an assessment. Don't wait for a screening kit to arrive in the post.

Ciara spent a year getting the rest of us to talk about this. We should keep doing it.

It's the one part of my father I hope I didn't inherit.

Figures: Northern Ireland Cancer Registry; Bowel Cancer UK; Cancer Research UK.
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Sean McGovern @smcg600
Does not matter who is in charge the big conversation is regarding outcome productivity paradigm in healthcare delivery. This needs focus on money spent delivers improved health outcomes in a sustainable way. Too much focus on the where is a distraction
Robbie Butler MLA Verified account @RobbieButlerMLA Sep 4
Let me dispel one myth being promoted at the moment: this week’s announcement is not another lengthy review of Northern Ireland’s health service. We have had more than enough broad reviews and reports. What we need now is well-evidenced action and the confidence to act when the evidence tells us change is necessary.

The Independent Reconfiguration Committee will have a deliberately limited and service-specific role. It is not another layer of bureaucracy and it will not conduct a further review of the health service as a whole. It will only consider individual proposals for major or controversial permanent service change that I, or any subsequent Minister of Health, choose to refer to it.

A similar body has existed in England for many years, providing Ministers with independent expert advice from a range of perspectives on specific NHS service-change proposals. My Department started considering an equivalent Northern Ireland-specific Committee several months ago.

I have met many clinicians and frontline staff since becoming Minister and will continue listening directly to those delivering care. My recent visits across Health and Social Care have reinforced for me the depth of expertise, commitment and innovation already within our system.

But listening also means being prepared to hear different views, test assumptions and follow the evidence.

Clinicians and other healthcare professionals can, understandably, hold very different views on complex proposals. Their expertise must be at the heart of decision-making, but no single perspective can provide the complete picture. My responsibility as Minister is to listen to those views, examine the evidence, understand the risks and benefits, consider the alternatives and ultimately make a decision in the interests of patients.

Rapid, independent scrutiny will help me test all the evidence, examine the alternatives, understand the consequences for patients and interconnected services, and provide an additional degree of independent assurance before a major decision is taken. This I believe will help reconnect the evident gap in public confidence when significant change is proposed.

It is important, however, to be clear about the distinction between work being undertaken within our Health and Social Care system and a final proposal formally submitted to me for ministerial decision.

There is currently no final service-specific proposal that I have considered and on which I am being asked to make a decision. When such proposals come forward, I will expect them to be supported by robust evidence, clear clinical and patient-safety considerations, proper consideration of alternatives and a clear assessment of the consequences for interconnected services. I have made this very point with the clinical and medical professionals I have been speaking with this past number of days

That approach applies to every part of Health and Social Care transformation. I will not prejudge proposals I have not yet considered, and I will not rubber-stamp decisions simply because they have been reached elsewhere in the system. Equally, I will not reject change simply because it is difficult or unpopular.

My approach as Minister is straightforward: listen to the people who deliver and use our services, understand the evidence, assess the risks, challenge assumptions, consider the alternatives and then make decisions.

Sometimes that will mean changing services. Sometimes it will mean protecting them. But I will not support change for change’s sake, nor will I preserve the status quo simply because it is familiar.

The Independent Reconfiguration Committee is therefore not a substitute for action. It is not another system-wide review. And it is not a mechanism for avoiding difficult decisions.

It is a means of ensuring that, where significant and potentially permanent changes are proposed, Ministers have access to independent, expert scrutiny before decisions are made.

Better outcomes is the vision.
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