Mr. Robert Watt:

Yes, it is doing all those things. It is looking at clinical practice and clinical adventure, working with our colleagues in the HSE to see what issues are giving rise to these incidents, which are leading to harm to people. While I am not an expert in this area, I understand it comes down to clinical governance and management, protocols and practices and so on at an intervention and acute level. That is where a lot of work has been gone in and there will be a lot of further work. The absolute focus needs to be we do everything we can to reduce the number of those events.