Mr. Colm Leonard:

The need for co-operation, governance and regulation framed by good, robust legislation has been referred to but, essentially, we need to see these children. I am conflicted when we have to present children as case studies and have to bring them forward as a service, but sometimes there is nothing more telling than a child's pathway through services or lack of that coherent, joined-up pathway through services. It is therefore important we continue to talk about individual children. One of the emphases we bring to bear in our office is that we will conduct investigations into individual cases where children have been let down by individual Departments within the State and individual aspects of the State, separately and jointly.

The other piece to recognise in that moment, though, is that there are pockets of good and good services. We have talked about the good CAMHS teams, the good disability network teams and the good co-operation and interaction between and across services. We should started focusing on what went well, how children like Jack benefited enormously in the last two years and how that can be built on and learned from, as opposed to that siloed, pulled apart blaming and entrenchment that quite often happens at the end of a process, with people then moving away from the other Jacks who are out there. We need to see these children. We need to learn from what good has already been hard-earned by services.