Ms Sarah McGillivary:

Yes, it was. We were talking about that before we came in this morning. Primary care was set up to house all these disciplines and provide access to professionals where one could go to one building to address several issues. I am not quite sure it came out that way in practice. I am sure the intention was good but I think traditionally or historically, whichever is the correct term to use here, we have been very used to working in isolation. As Dr. Mac Gabhann alluded to earlier, we need to be looking at a cultural shift at this point because we have primary care centres and inclusion health hubs, which are designed specifically for people to be able to access one or more disciplines, whether it be addiction, mental health or dental, or whatever that might look like in practice. The cultural change needs to start in primary care centres and it needs to start very much from the bottom up. We talk about top down quite a lot but sometimes one is left waiting on the instruction. At some stage it needs to come down to the people who are working tirelessly day in, day out in these primary care centres, inclusion health hubs and community settings to be able to decide they do not have time for a particular mandate to come through. They need to respond to the needs as they are presented. In theory, the idea of primary care centres was fantastic but I am not quite sure everyone in every primary care centre will know who their neighbour is in the office next door.