Professor Patricia Kearney:

I apologise. One of the things that has happened here is we have had to scale up the approach very rapidly and institute a national system. That has been implemented differently or at least it has been implemented locally. As such, we would need to think very carefully about what processes would be put in place to make sure we use all the expertise that exists within the individual departments of public health around the country and build on that expertise. The national system is excellent for the straightforward cases but a lot of the work with the more complex settings such as nursing homes is undertaken by the departments where the expertise exists. We need to build on that existing system.