Dr. Austin Byrne:

I would go a layer beyond resources, which we absolutely need but we must be very careful how we choose to deploy the resources. Our traditional contract model deploys resources in a capitation based method. The Organisation for Economic Co-operation and Development, OECD, has warned against this in the past year. We need to ensure that resource flow follows activity, complexity, efficiency and with quality as the underpinning factor. Move it down the value chain to the most competent area at the highest, most appropriate level of expertise. We tried it in the past and we said closest to the patient and we spent an awful lot of money building white elephant centres to relocate staff with no additional activity. We need to be careful not to replicate that.