Mr. Padraig Mallon:

It may be helpful to quantify and put some money on it to provide some context. Our current continence service is provided by two nurses working 1.5 whole-time equivalents. They share the role and we can provide the service in CHO 4 for just under €175,000. To amplify and increase the service next year, we are looking at about €210,000. To move to three whole-time equivalents would cost just under €300,000. The number of families we could reach with that would be really significant because the demand is huge. As Ms Cahill said, for every family that has a child with a physical disability, particularly a neuro-physical disability and is in a wheelchair, issues of continence and self-management are going to be one of the primary concerns. We can significantly impact on that through our service, so it is really cost-effective. Our social return on investment tells us that for every €1 we spend, the stakeholders tell us that they are going to receive €4 in value. Not only is it effective but it is cost-effective. We can demonstrate and are happy to prove the value of it and our stakeholders will tell you that it has a high value for them.