Dr. Gabriel Scally:

I do not know who was responsible for the change. In fact, either way it was wrong. When they specified ISO, as the Deputy correctly said, a lot of the labs did not have ISO, they had a different system. We could not find any correspondence about any challenge of that at all. Even though they inserted "or equivalent" we saw no correspondence that would indicate that anyone had ever asked the HSE to judge the CAP as equivalent. That, along with other aspects of the contract, was never actually implemented properly. The contracts were not properly implemented or placed.