Dr. Stephanie O'Keeffe:

Yes. To clarify, information regarding the actual audit was not perceived to be a problem at the time everybody heard abut it. It was perceived to be a good thing. An audit such as this one is the last tool in a suite of things we do to quality assure a programme. When people were briefed, they would have been briefed in the context of knowing that these type of things happen in screening programmes. They work at a population level but, unfortunately, they do not work for every single individual. Patrick Lynch would have been involved in supporting a constructive, positive process at the time. The abject failure here was in the execution of the communication between the treating clinician-----