Mr. John Saunders:

We report to the Department of Health at a number of different levels. I again refer to my commentary on this. I was very careful in what I said. There is a sense that we constantly state the facts and realities as we see them. There is a sense that people listen but also a sense that there is no immediate or long-term response to those issues, not always but sometimes. This is borne out for us by the fact that the same headlines come up year after year. The number of children admitted to adult units has been constant for the past five or six years.

The numbers who do not have individualised programme plans are increasing year on year. The issues around seclusion are also difficult but none of these issues is new. They did not just arise this year or last year but have been coming up year after year. We are highlighting these issues but nothing is happening in terms of making a significant shift.