Dr. John Hillery:

I will come in on that question. To answer the Senator's first question, the key issue is that someone needs to be responsible at a national level, a CHO level and a team level. One of the findings of this report is that there is no uniformity of responsibility. Individual clinicians, because of their training and regulation, felt responsible but did not have any control over what was going on around them. There appeared to be no one responsible for that. There was no one responsible for making sure that appointments were being kept and given out, people were being followed up on and files were in order so everyone knew what was going on. That is an issue nationally and not just in the area to which the Senator referred. It is better in some areas than others. As I said earlier, there was a divergence within CHOs. That once again goes back to the fact that we need a national plan and template to ensure those differences are not there.

The Senator's second question has popped out of my head.