So, in many ways, let's learn from this. You know, if you look at case A, I acknowledge, as painful as it is, that the initial phone call was prompt, as the report says, but the clinical background wasn't made available to the caller. The risks weren't fully assessed. The template itself wasn't fit for purpose. There was a delay in the clinical assessment by a registered health person. There was no follow-up when the patient didn't answer the phone. 