Mr. John Connaghan:

There are two aspects to the wider implications of the Scally report and what lessons can be learned. One aspect concerns process. In many ways, that is arguably the easier step. When the implementation plan in response to the recommendations is shown, one will see how it is broken down. We have gone well beyond the basic recommendations because it involves the wider actions we need to take to support better processes in the HSE. The hardest bits concern cultures, values and behavioural change. I would be happy sometime in the future to give the committee a short paper on what we are doing around values and action, as well as how we intend to spread that to clinical staff. I am happy that we have several doctors on board with a clinical aspect to values and action. We need to work on this and it is harder than process actions.