In March 2017, Minister Zappone asked HIQA to undertake a statutory investigation into Tusla, the Child and Family Agency. The investigation team visited 6 Tusla areas and the Sexual Abuse Regional Team (SART) in the Dublin North East Region. Cavan/Monaghan was one of the areas visited. HIQA’s report, published in June 2018, identified risks within Tusla’s systems for managing referrals, safety planning and managing retrospective cases. HIQA made four key recommendations, one of which was the establishment of an expert quality assurance and oversight group to support and advise on the implementation of the recommendations.