Mr. John Farrelly:

If there is, it is not being driven in a co-ordinated way across the country in accordance with a policy or plan. People who work in mental health tend to be compassionate people who want to make a difference. If one looks across the country services are basically ad hoc, scattered and slow. There is a tendency for people to concentrate on inpatient services where regulation does not help. The concentration should, however, be on the community. There are improvements but one could not say that they are necessarily directed from the centre in an organised way.