Mr. Damien McCallion:

There is. Each hospital, in simple terms, would have a risk register it uses to manage the risk within the hospital. It would complete actions within that. The hospital would track and manage those on a monthly basis at a minimum. Each hospital will have a quality, safety and risk co-ordinator who will track the information and look at it on a daily basis. He or she will follow up with people to make sure issues are being addressed. The regulatory piece also comes in, which should also be reflected in that process, through HIQA, the Health and Safety Authority or any other regulator that would visit a hospital or accredit the services of laboratories. There is an active risk management process running in every hospital - of that I am certain. The hospitals manage that intensely at a local level through resources and management systems. We will only look for that information when we are going in through the performance side to see if there are things that we need to be aware of or that the hospital needs support to address when issues cannot be managed locally.