Stephen Donnelly (Wicklow, Fianna Fail) | Oireachtas source

I apologise for interrupting. I know that Mr. Mulvany is trying to answer the question in detail and not trying to avoid it, but I am asking a higher level question. He has taken one year which is perfectly reasonable and itemising the spend in it. My question concerns the fact that up to 2013, for example, the overruns were in the region of €100 million to €200 million, but from 2014 they jumped consistently to €600 to €700 million every year. Something has changed. The issues Mr. Mulvany has described are fine, but there issues in any one year. Obviously, healthcare is complex, with a big budget, while unforeseen events happen. Governments make decisions to do things in particular years. However, something has changed, if we look at profiles in which there are overruns of €100 to €200 million which suddenly jump to and remain at more than €600 million and are now €700 million. I am not asking for specific details in any one year. Why have the overruns more or less tripled since 2014 and remained at that level? It says to me something has changed within the HSE, among the population, in the Department or the Government. I do not know, but something has changed. Will Mr. Mulvany help us to understand what has changed and why there has been this massive sustained increase in the overruns?