Ms Angela Fitzgerald:

That is a fair point. A number of responses are required. One is, obviously, what we talked about earlier in terms of home care and developing a model that is sustainable. That is one strand of it. The Deputy is right. A number of people may be fit to go home but may need transitional care or step-down care. By and large, Mr. Egan and his team have an oversight role in that space. However, there are a number of private providers in that space. One of the successful ways in which patients can be effectively discharged is if there is good clinical governance overseeing that discharge. The patient may not be quite ready to go home so overseeing his or her care as he or she leaves the hospital and goes into a sub-acute setting can be challenging. Sometimes hospitals are not satisfied that the care can be provided to allow for that transfer but it is a space that we are very keen to develop. Risks arise in transitions of care so our role in that space with public providers is very clear. The reform will give us the role with regard to other settings. I will ask Mr. Egan to comment on the specific aspects of what the Deputy asked about.