Mr. Leo Kearns:

This is why there must be a workforce strategy on the implementation of the RHAs. It cannot be divorced from it. It was definitely possible and it was predicted that the centre would grow in the way that it has because of how it was set up. The workforce strategy going with this is really important and we need to see what that is.

The Deputy also mentioned the staff in section 38 and section 39 organisations. It is a valid point that we need to stop thinking about the health service as an organisation and think about it as a system. Those staff are critical to multiple care pathways. We need to have agreements with those organisations. There might be a national organisation with local service delivery. Therefore, there could be SLAs with the national organisation but at a local level they need to have flexible and agile relationships with those service delivery entities because they are all part of the care pathway. Part of our advice is that we need to rethink how the SLAs are designed in terms of the RHAs to get-----