Dr. Joseph Duffy:

At this stage, we are still involved in consultation and some of the planning but much of it rests with individual relationships. It is around that sense of waiting for some structural change to happen. What has been very useful recently is that people are learning a great deal from Jigsaw. People ask how young people aged 12 could be in the same waiting room as young people aged 25? There are, however, many different ways to manage that and think about it. There is a real openness and willingness there and we are seeing that this is beginning to shift and change. People are identifying key areas that can be targeted, such as learning from international practice in Australia, thinking about the training of psychiatrists, and the upskilling and development of particular teams. It is happening but it is very slow.