Mr. John Connaghan:

The responsibility for operating the open disclosure policy is a cascade. We have a national policy, and we expect the implementation of that to be taken forward in hospital groups, community healthcare organisations and organisations such as CervicalCheck. We would expect that within the organisation of CervicalCheck, it would have its own internal policies and procedures to ensure the open disclosure policy was effectively deployed.

In my remarks at the outset, I stated that it is quite self-evident that those internal policies and procedures did not take effect in this particular case. There should have been a flag raised earlier and we readily hold our hands up to that particular failure.