Mr. Ciarán Devane:

The Deputy's point about the kind of board or HSE that is remote from the lived experience of service users and patients across the whole of the country is well made. One of the matters that we will be considering is the question of how, when we achieve integrated care regionally and locally, we ensure engagement with communities, public and local stakeholders, including politicians. That is right. This is the other side of transparency. We must be able to get and listen to feedback as well communicate what is happening and what is or is not possible. The principle of subsidiarity is important in that regard. My vision for the HSE is not one of everything coming up to the centre and then going back down again. Rather, it is about how to enable the local organisations to work well together and deliver the best possible healthcare locally while also ensuring that everything adds up. The Deputy's point was well made and I thank him for it.