Ms Eilísh Hardiman:

The issues in the report that the biggest concerns were about concerned the culture of HR and the team dynamics issues. There is a lot of research to demonstrate good team dynamics is important for patient safety. There was a particular patient safety risk issue that was a single point of failure. That was the highest risk issue. From the recommendations they were rated as to what were the immediate ones that need to happen. There was extensive and ongoing engagement with the NTPF in 2021 around these clinics. This matter should have come up then and it did not. I regret that. The focus was on the patient safety and risk issues. They took the priority going into 2022.