Ms Kate Duggan:

The learning from this was referenced already. All of us have to learn. Investigations such as this come out and shocking findings such as this are made. We may receive an allegation. I refer to Mr. Brophy's description of the different types of abuse: organised, organisational or systemic abuse and the different things they mean. We may receive referrals for either current-day or retrospective abuse alleged against an individual and for the large part, all of those individuals work somewhere. We have an initial screening to do to identify whether there are any child protection concerns today. If there are such concerns, we are able to share information, as relevant. We did that then and we continue to do so now. However, we have also established a working group with our parent Department, to reflect on some of the questions members raised today to look at what constitutes risks or risk factors. I do not like using the terms "early indicators", "early warning signs" or "red flags". However, as an organisation, we need to make sure we respond to them in an appropriate way, if we think there is any risk of abuse within an organisation. It can be difficult at a point in time, when it is one referral received against one individual. What is it we have to do and should be doing to make sure we are at the earliest point possible in not allowing such a situation to repeat itself, when something went on for a number of years? That is certainly a learning we have taken from this in trying to move forward.