Mr. John Farrelly:

People use different language because they are trying to give confidence. There are hundreds of assistant national director posts. There are lots of assistant national directors in the HSE. They potentially do not have the power that is needed to change this. If one looks at what happened in south Kerry, the director, Mr. Damien McCallion, went in, chaired it and got the changes there. It is only possible in certain roles to drive through reform.