John Lahart (Dublin South West, Fianna Fail) | Oireachtas source

That is fine but I look at the NHS and despair. In my personal view, we must look at universal payments because universal availability creates issues in the system. People who need care do not get in when they need it. GPs also have some very strong views on the invidious position it places parents in vis-à-vis their children and their children's illnesses.

The Secretary General has made some interesting points about accepting improvements in outcomes. He referred to a substantial divergence between resourcing and activity. I invite him to say more about the productivity puzzle. He spoke about analytics and data and the increasing emphasis on same. I ask him to elaborate further on the productivity puzzle.