Ms Mary Dunnion:

The only thing I will expand on is the clarity and difference between licensing and commissioning. Commissioning is not done by the regulator. It is done by the entity that is purchasing the service. In this context, that is the HSE. That contract between the party providing the service and the party purchasing the service has controls as to quality and safety within it. It may well state how many particular procedures will be conducted and have all of those elements to it. It is not something that is currently in Ireland but it is in other jurisdictions. Those kinds of safeholds such as the purchasing of a service, the funding being received based on the delivery of that quality care service and the contractual monitoring of it between both parties are parts of the arrangement made between the party purchasing and the party providing. What the licensing or the regulator does is assess compliance with the regulations which are determined by Government.