Professor Cecily Kelleher:

When we produced our original report, there were many such harrowing cases. We described them in our report, and many of our recommendations were about addressing them. I believe services have been stepped up to respond more appropriately since then. A whole variety of factors need to be addressed, including, for instance, the visitor guidelines, which we have just been made aware of in recent days. It is therefore very important we would have, as I said, a preparedness into the future but it is required immediately also.