Mr. Tony O'Brien:

If we leave aside the HSE and State Claims Agency, effectively the settlement process and the cost and implications thereof are so far removed from the point at which the incident occurred it is almost invisible to the service providers. Over time, within the framework that we have, what I would like to do is make a greater connection between the care setting - or lack of care setting, as the case may be - and the claims process, so that it is experienced as a more meaningful, real thing which will undoubtedly have an effect upon the learning culture and learning environment if we can get to that point. I am quite satisfied that the State Claims Agency does a good and effective job but the overall architecture creates a certain disconnect I think.