I do agree with the Member. In fact, I agree so much that when this issue came to my attention, I did ask for a formal external review to be done to help us determine how on earth we

didn’t know before August 6th , how the

situation happened and how we can, as a system, better respond in the future to make sure that our people are informed in a timely way.

I do also want to recognize, having said that, we still have to recognize the importance of the practitioners and their obligations under a situation like this, which is: stop the harm, work with the patients, then communicate. Thank you, Mr. Speaker.