Mr. Liam Keogh:

It certainly would have come up previously. When the representatives from HIQA were here, they talked about the need for good clinical leadership and the setting up of a clinical advisory panel to allow for some level of oversight. We have talked about social workers feeling that they are not being heard or are not able to report on things. In the context of workers who, as the Deputy said, may not be engaging in the process, who are feeling alienated and who are perhaps not delivering what they need to deliver, namely good quality care, it is important that there is good clinical oversight. We certainly feel that there is a good level of care available. There is often high motivation and great interest. Why we have not progressed more may be down to the fact that there are a lot of pockets of good work happening. Perhaps what we need to do is look at those and learn from them and from what we know. We have a lot of expertise in the room here. People have a great deal of information on this. It is about building on that and working together. In other words, agencies working together and co-ordinating in order to find a good response and supporting staff teams to allow them to deliver what they need. We must provide the training they need to respond and to provide good care.