Mr. Kilian McGrane:

Could I take the last point first? There should be mandatory inquests in all maternal deaths. At the moment, an inquest is discretionary and this year there have been several cases that have not had post mortems where I think it would have been of benefit to the system. For the few maternal deaths there are, only between five and seven a year, the added workload in terms of the number of post mortems necessary would not be very big. In order to complete the information a mandatory post mortem in the case of a maternal death should be necessary. A very clear yes to that.