Dr. Gabrielle Colleran:

I believe the Deputy is referring to the concept of integrative autonomy. We need to have enough integration with the central HSE to ensure the key performance indicators and standards are uniform across all hospitals while having enough autonomy locally to empower clinicians to address specific blockages locally. That is what we are missing. There is a command and control model and Covid has taught us that does not work. What we really need is empowered local services. Integrative autonomy brings us to the sweet spot at which we have both.