Mr. Phelim Quinn:

We have considered the State Claims Agency's concerns and how they were communicated both to the HSE and Portlaoise hospital itself. There was certainly evidence that there was an accumulation of concerns raised through the State Claims Agency’s own systems. It made numerous attempts to communicate those risks and the trending of those risks within Portlaoise hospital specifically. However, it seemed at times that this information did not translate into action on the part of the HSE. That would have been a very-----