Dr. Cathal O'Donnell:

The review of the incident to which Deputy McConalogue mentioned is still ongoing and we have not yet met all the staff involved so I do not want to comment in detail on it. The incident review team spent two days in Donegal two weeks ago as part of that and we issued an interim recommendation to the hospital and the National Ambulance Service jointly to develop a shared escalation protocol and work on that is ongoing. Escalation protocols exist and need to be refined in light of what happened, and that work is ongoing.