The pace of events involving Children's Health Ireland is truly astonishing.
The issues are also incredibly serious, given they involve surgeries on children, many of which have been deemed to have been unnecessary.
The big outstanding question which no one appears able to answer fully is why this has been allowed to happen?
Children's Health Ireland (CHI) is a separate entity to the HSE, with its own board and management.
It is funded by the HSE.
Given the run of events, it is difficult to see how CHI, in its current structure, can survive.
Now two HSE board members are being put on the CHI board by Minister for Health Jennifer Carroll MacNeill.
Three CHI board members have resigned and the resignation of a fourth, which occurred last week, was only confirmed today.
The previous chairman resigned a few weeks ago.
Minister Carroll MacNeill is due to fill the new vacant posts over the coming days.
Three major issues have brought us to this place.
The first was the HIQA report into spinal operations on children using unapproved springs at Temple Street.
Then last week we saw publication of the independent clinical audit of hip operations on children, which found that many performed at Temple Street and Cappagh hospitals were not necessary.
An expert panel is being set up by the Government with an international chairperson, to offer parents independent reviews of their child's hip operation.
These reviews will go back to 2010 and will take many months of anxiety for families.
Then we had the weekend report in 'The Sunday Times' on an unpublished CHI investigation report from 2021, which found a consultant, since retired, had breached guidelines by referring public patients to the doctor's own weekend clinics.
HSE chief Bernard Gloster was unaware of this report and only learned of it at the weekend. Likewise for Minister Carroll MacNeill.
This report is likely to be published soon, once a version has been cleared legally and it does not identify patients.
The report was received by the CHI board in 2022 and there are now questions about what is did after getting the report.
Another, separate, report is due soon in relation to Surgeon A, who is on leave from Temple Street.
That report is being completed by an expert from the UK and is looking at a number of serious spinal surgery incidents and the use of unapproved devices.
Minister Carroll MacNeill also spoke about what she said were "toxic behaviours" within CHI that had developed over time.
This is incredibly serious given all three hospitals, Crumlin, Temple Street and Tallaght, will move to the new National Children's Hospital, due to open next summer.
The children and parents must come first, and staff are also entitled to good a working environment.
How it has come to this point is very difficult to understand and there must be accountability to ensure confidence in a most sensitive part of healthcare.
