Mr. Damien McCallion:

From our perspective, if we lift the focus higher than just the emergency departments, we meet hospital representatives weekly in respect of scheduled and unscheduled care. We consider and assess with them their ongoing risks. As part of hospitals' overall performance engagement every month, we look at their risk registers and ask what their key risks are, whether they are managing them and whether there are any risks they need to escalate to the national system for support. We ultimately want risk systems, as with all good risk systems, to be owned locally but issues can be escalated if there is something over which hospitals do not have control or cannot address, or where there is something that is common across the system, as was identified in respect of CAMHS.