Ms Eil?sh Hardiman:

That is all going to be part of the review. If I may, it is really important that I correct the record regarding the incidents. When we have high-risk surgery we have incidents. They occur and we investigate them. If every surgeon who had an incident from a high-risk surgery was to be investigated and a note sent to the Minister, we would be doing that on a regular basis. This is our world. It is really important to understand that these instances are a normal amount of our practice. We have these serious instances and complications and we investigate them. There was a cumulative effect here that resulted in us actually communicating about our concerns. The Deputy is absolutely right. The second incident had occurred and concerns were raised by the staff. It was then that we said we wanted to escalate this as a patient safety issue.