Dr. Susan O'Reilly:

It is more important to have collaborative working, and effective means of working, with our community partners and to have appropriate cashflow into them to deliver services. More than a year ago, when the tap to community supports and long-term care was switched off, we got into desperate trouble in the hospitals. This year, significant resources are going into community health areas and they are able to meet most of our needs, except for some very complex and costly cases, even though we continue to pressurise them to get this done. The working relationships are a bit more important than the structures. Although in principle it would be very nice to have integrated management structures, it does not specifically impede our group at present. Other people may have comments on this.