Professor Steve Thomas:

Look at the internationally sticky problems in health systems, such as waiting lists. A key move ten or 12 years ago in Europe was to try to shift waiting lists down, which we have a huge problem with now. It was done with a mixture of capacity resources and much accountability, transparency and information sharing. We do not have the information sharing or the data. We probably do not have public discourse around that either. The element of information sharing is needed around the system to mobilise interest and accountability and therefore start to drive the reform process. We do not know where the blockages are and that is partly to do with the lack of appropriate information disseminated to all stakeholders.