Mr. Paul Reid:

I will answer the question. The timelines are set out in the Maskey report. Where issues were raised, they were raised at a local level. The first significant intervention was made by a newly appointed executive clinical director back in September 2020 when she initiated a look-back at 50 files, which then triggered a very significant process at a local level. The chief officer who leads the community healthcare organisation, CHO, then commissioned the look-back review following that. That is when it was triggered at a local level at a senior level. Ms O'Connor might want to add something.