Cathal Crowe (Clare, Fianna Fail) | Oireachtas source

Who whittled down the options and said the mid-west does not need an elective hospital? From time immemorial, Governments have always followed advice, and this is the same for the current Government, the next Government and the ones that have come before and that will come after. There is the so-called permanent government of the Civil Service, and if it advises the Minister to do a certain thing, it is very rare that the Minister does a complete U-turn and pushes back.

I want to know who in that chain of command whittled this down from "Yes, we need an elective hospital in the mid-west" to "No, we do not". Who is that person who struck a pen through a page and said we do not need one?