Colm Burke (Fine Gael) | Oireachtas source

It was an adverse outcome. A decision was taken that a clinical review would be carried out by an independent person outside the particular facility. All the clinicians agreed on who should be appointed. They were overruled, however, by someone in administration who had no physical contact with the unit, but who just drew a line across the person who was appointed. Some 18 months later, there is still no review completed.