Mr. Leo Kearns:

That is a critical part. First, there are the issues of capacity and workforce, which are issues that I might come back to. Dr. Ronan Fawcett is a GP in Kilkenny and he is a member of our group. He is very strong on the need to build local structures and to support them between GPs and acute and community services, which is hit and miss at the moment. There is a sense that GPs are somehow separate from the health service when, in fact, they are integral to the health service if one understands the health service not to be just the HSE or just an organisation. One of the problems that we have is that there is a perception that the health service is just the HSE when, in fact, a huge proportion of the services are provided by non-HSE.