Mr. John Farrelly:

It is hard to ascertain. We know that there is a group of stakeholders refreshing A Vision for Change. Ultimately, one imagines that the Government, through the Oireachtas, enables the Department to drive through a policy. Policy should be owned at that level. Then the HSE and the different agencies should made accountable and funded according to that policy. It is confusing as to who owns the policy. Even A Vision for Change was not necessarily set out by the HSE. There is a weakness in that regard. It is difficult to know who owns it. There is a board of the HSE. As far as I am concerned, the accountable people for implementing it must be at that board level and making sure things are happening. When one looks into mental health services, it is hard to get clarity and accountability of who is in charge and who is governing them.