Professor Jim Lucey:

There is major variance. I go back to the headline statement that the manner in which the response overall was found did not give the inspector, Dr. Finnerty at the time, confidence to say this was a safe and adequate service. There was a variety of responses. It would be fair to say that making a report like this is critical in the sense that it is essential that we get truth. Rather than say there was no response, one must acknowledge that a response occurred. The Deputy has put his finger on it, however. There is a variety in the quality of response and, ultimately, Dr. Finnerty could not give confidence to the parents of Ireland that it was a safe and adequate response.