Mr. Tony O'Brien:

Given the roles of Dr. McKenna and Dr. Henry at the time and in light of my discussions with Dr. Henry since, my understanding is that he was asked to intervene and facilitate a resolution to what he understood to be the core problem of a disagreement on who should tell patients. I am not critical of Dr. Henry for thinking that he had done what was asked of him, which was to facilitate a resolution, as he was advised that had been resolved, although that proved not to be the case. He is not accountable for that resolution not being followed through to delivery. Those who said they had resolved it but did not deliver must be accountable for that.