Dr. Amanda Burke:

Again, just in terms of the normal check and balances, junior doctors would be supervised by senior doctors and consultants, and in areas they would have mandatory supervision weekly, not optional supervision. Consultants partake in continuing professional development. They have peer support groups. In my own area, we meet every month and we review challenging cases. We would have regular reviews of our clinical complaints. Again, in my own area we would do that fortnightly. We would look at our serious incidences, which would reviewed by a very high-level team and we would see if there is any learning from that, which would go through clinical governance committees. Therefore, there is a robust and tiered structure. Regrettably, this broke down in this particular incidence. However, in the vast majority of areas, and I want to reassure the people using our services because it is important we do that, there is good practice and very good practice in CAMHS. A lot of satisfaction is expressed by our service users in terms of the service that they get.