Mr. Tony O'Brien:

In the acute sector there would be numerous reviews, mostly into adverse clinical outcomes. They would not typically escalate to the level of inquiry but have some of an inquiry's characteristics in that they are root cause analysis type reviews, in which we typically use a formula that allows nominations from the forum of postgraduate training bodies and appropriately qualified clinicians from a different location to carry out an external review. It would not be of that inquiry standard, however.