Ms Anne O'Connor:

We are working with the Irish College of General Practitioners and CAMHS on this and we are conscious of it. Part of the problem we have is that referrers will send multiple referrals across the system because they do not know what service they will get. We see large numbers of duplicated referrals. One challenge is to look at that. As recently as this morning we had a meeting to look at how we can create a different approach. We are keen to build on some of the work we have done with the approach around youth. Again, the conversation is around youth mental health rather than simply CAMHS and that is relevant. We cannot assume that if someone has a mental health difficulty he or she should simply go to CAMHS. We have to build that into our conversation as well.