Professor Barry Goldson:

The first thing about recognising the review was that it was a fairly compressed process and occurred against the backdrop of acute instability at Oberstown. All of that is explicitly laid out in the introduction of our operational review. We explicitly stated that these were exceptional times. Notwithstanding that, it is extraordinarily complacent to assume that it can all be fixed and that it has all been fixed. I have looked at the HIQA report of three years previous to the operational review and at the HIQA reports that have been published subsequent to the operational review and there are some very consistent problems. These are the lessons that have to be learned which we believe our report will assist in.