Mr. Hugh Kane:

We decided to adopt an outcomes-focused approach because we felt that a fundamental question on which we needed to be clear concerned the objectives we were trying to achieve within the mental health service. Before we looked at other issues, the fundamental question for us was what we were fundamentally trying to achieve in the mental health services. That is what we viewed as critical and it is where we focused.

Part of the issue with A Vision for Change was that when one looks at the original report, the first four or five chapters were where much of the vision and future thinking were set out. The final chapters focused very much on the resources and inputs required to deliver the report. In our judgment, when one reads any reviews of A Vision for Change, one can see they tended to focus on the resource inputs rather than the other cultural issues or different ways of working that have been implemented. That has been our starting point. We have not looked at inhibitors per sebecause we have been trying to identify particular enablers within the system that will enable this policy to move forward in a particular way. That has been the focus rather than inhibitors.