Kate O'Connell (Dublin Bay South, Fine Gael) | Oireachtas source

If it is the case that the person who was conducting the audit process, and I am specifically speaking about Dr. O'Keeffe, did not make the decision to escalate this up to chief medical officer level in the Department, how could that have happened in her role? I am trying not to be personal here but how could that have happened? How could we have started off with an audit process that was flawed because how the results would get to the patient was not considered? How was it not considered, discussed or known by Dr. O'Keeffe that treating clinicians would perhaps have an issue in giving the information to a patient? As one of the gentlemen present said, it would be a departure from normal day-to-day activities. How does Dr. O'Keeffe feel about how she did her role, in the sense that she did not make a decision or consider a pathway to informing the patients? Does she think she did her job right? I am not looking for another head here. I am just trying to get to who made that decision and what it was based on, or was it just that Dr. O'Keeffe did not know? Maybe it is as simple as that she did not know what to do and that she was not equipped-----