“…It is possible that a longer time in existence affords a CEC with a heightened ability to produce CEPs, based not only on more overall time to produce but also experience that both lead to improved efficiency, growth and breadth of the personnel assigned to such development. The elaboration of a CEP shows that the members of the CEC have capacity of reflection, organisation and proper education, as well as an acknowledgement of the deliberative method that is required 19. In addition, it reflects CEC participation in, and awareness of, the dynamics of the hospital, allowing for problems at the medical centre to become more familiar and easily addressed 20…”