Dr. Brendan Murphy:

It is per patient or thereabouts in that example. The strongest example of that - not to hog the microphone - relates to our junior medical staff who move and rotate between hospitals. I can now say this of myself because I moved to University Hospital Waterford, where we are paper based. We missed the electronic record when it went down. There were people who had an aversion to using a computer at the outset and needed to be coaxed and changed. In every project, there are early innovators and laggards, but even those people were saying, “I never thought I would say this but”, because of the efficiency, the freedom and the access. It is not perfect, and we still need to optimise it. It is a living system that still has input. Even then, with a national system, we need careful governance. We take the ideas in and assess them to ensure that my good idea does not impact elsewhere. We mitigate risk. It is working well.