Thank you for the question. I believe most of the first part of the question has been answered, in response both to Rhun ap Iorwerth and Llyr Gruffydd, and also Mark Isherwood. And I’m pleased to say and acknowledge that this isn’t down to a lack of effort, but there is something about a learning culture, where people genuinely challenge, and constructively challenge, the way in which care is provided within multidisciplinary teams.

In terms of the direct action, again I’ve explained that the Welsh Government won’t ignore the report. I’ve explained, in terms of the accountability conversations that are happening with both the chief executive and with the chair, that the issue will get raised, and that they can expect there to be follow-up from officials as well, to make sure that the learning is actually carried out, and can be evidenced now that that learning has been taken on board, both by individual staff and across the whole system. Because, as I say, I want to see learning and improvement take place as a result of each of these reports, rather than simply looking to blame a particular individual and not look at what the whole system could and should do differently.