Mr. Tony O'Brien:

The whole point of the exercise in undertaking the review which was carried out in accordance with the London protocol, an established process for clinical root cause analysis, is precisely to learn lessons. As the Deputy is aware, I also took the step of writing to HIQA and requesting it to carry out a statutory review of the wider issues involved. It is carrying out that process. The emphasis of what we have done in the aftermath of the death of Savita Halappanavar has been on putting in place processes designed to find out exactly what happened, what went wrong and what can be done in the future to avoid a recurrence. The process, therefore, is one of seeking to learn and improve.