Mr. Ciarán Devane:

There should be learning from every clinical incident, system failure or however we describe it. Learning and accountability form a part of great clinical governance. That is one of the reasons we set up the quality and safety sub-committee of the board. We must do our bit to support a culture of great clinical governance, learning from the past but also learning what we can from other sectors. Everybody talks about the airline industry. My background is in chemicals. We all have experience of dealing with high-risk situations and we have to bring that to bear. The answer, therefore, is "Yes".