Dr. Josep Figueras:

What do I mean by framework legislation? I do not know the legislation in Ireland well enough to tell the committee what it should do. In some countries, one has framework legislation and regulations, but one can develop the legislation progressively by regulations. One can have legislation that states one will move to integrated care, one will develop - as Ireland has at present - community health services with linkage to the skill mix, etc., but one does not legislate for the details of the models one wants to apply, etc. I do not know enough legislation in Ireland to be able to add any value to the question but I can give a general suggestion. One of the most useful factors when I talk with countries on reforms is to have a lawyer in the room because what we have learned is one can do an awful lot within current legislation. Sometimes the cost in parliament to pass legislation is so high that one can do an awful lot using current legislation. One suggestion in Ireland is to talk to those who within current legislation have done lots of good work in the right direction and have built on that rather than passing new legislation, which is costly and complex.

Am I missing any one?