Dr. Colm Henry:

As that risk assessment translates into actions, there is an escalation protocol that goes back to 2015. It responds to different key metrics in individual departments, including the number of people waiting and the length of time people are waiting post triage. Following January, we are reviewing that escalation protocol because we think we need to make it more sensitive to patient safety issues such as the length of time people are waiting to be seen after triage. That is an escalation policy that responds to risk but we are updating it based on safety concerns.