Dr. Ronan Fawsitt:

Deputy Michael Harty asked a question about transitional funding. I was at a talk by Mr. Paul Grundy at the weekend on the issue. The key is resources and to move the food. How does one handle stray cats? The answer is one moves the food. One has to incentivise consultations that are complex in primary care and general practice. One must incentivise activity, outcomes and quality. One must move the food. The Oireachtas health committee could lay down a marker new thinking and ascertaining how to change.

How do we get a group of people together? There is nothing like sitting down at a committee meeting and listening to people. That is what we do and what an LICC process would do. One brings ideas, enthusiasm and passion to the table, thus effecting change. It is called peer pressure and seeing the "light of day". It is also driven by data. When we attend these meetings, the hospital manager may have figures and the consultants are present to state the length of the waiting list. That is how it happens. It is a very powerful process and as simple as soap. There is no magic to it.