Mr. Seamus McCarthy:

I agree with the chief executive's presentation with regard to the matter. The systems are improving. The great value of having systems and the kinds of reviews that he is talking about is that there is a systematic focus on all of the issues rather than one issue becoming a popular issue that everybody is focused on, then it moves on and things fall back into process. The governing organisations within section 38 and 39 bodies will be forced by the systems that have been put in place to address this and to provide assurance on a routine basis. The one area where it is very important that the HSE keeps a focus is on its own internal review escalation and dealing with the issues as they come out of the reporting process.