Mr. Liam Doran:

Let us set aside the INMO. They do not engage with directors of nursing at management level now. It is not a question of staff nurse or ward sister level. I am referring to the arguments of directors of nursing about the need to replenish staffing levels and to have the right skills and grade mix. These people are being ignored. The INMO will do its job but I am more concerned about when a head nurse in hospital X believes there is a need for an additional supply of the right skills and staff and that is denied them by people further up the ladder.