Neasa Hourigan (Dublin Central, Green Party) | Oireachtas source

I am not a medical professional, so I am trying to understand what happens at this four-monthly review. It seems that the failure here is a governance issue. I presume care plans and patients' particular needs are on the table. If there is a shortfall in oversight or staffing, the patient safety adviser is not in the room to say the service is severely lacking. Is that fair to say?