Ms Anne Coyle:

If I may, we are dealing with a very live issue. We are working through understanding the decisions and the decision points, what might have contributed to that view and the feeling at that time, as opposed to now, five years on, when we are looking at it in the cold light of day. I take the question and I take the intent. It is difficult for us to answer in terms of who was responsible at the moment. We are looking at this as a hospital issue.