Dr. Tony Holohan:

I know it does not. I cannot assure the Deputy that it is being practised in every setting in which it should. I have had too many direct experiences of situations where not only was open disclosure not taking place but patients were actively being lied to in certain situations. That has been identified in work that we have done. We still have a journey to go to be able to say that open disclosure is occurring in the manner it ought in all settings in our healthcare system.