Dr. Tony Holohan:

I can identify some, and we may have touched on some earlier. Some of the obvious lessons, notwithstanding that investigations are taking place, relate to audits. Before they commence, it should be absolutely crystal clear whose responsibility it is to communicate. In respect of specialised services such as screening services there should be specific service open disclosure policies. We will need to look again at the open disclosure policy and update it in the light of the lessons that have emerged from this and develop open disclosure policy specific to the screening programmes. That can be said. Each of the audits would have feedback loops so we can be sure that if there are open disclosure policies we will know whether they are being implemented effectively. Those are a minimum set of responses.