Professor Jim Lucey:

The good thing, if we are looking for good news, is that there are examples of progress. Even in my short time as inspector, I am finding that nine out of ten of the approved centres are meeting minimum standards and many are doing excellent work. I would say one thing: with those centres that are doing well, one thing we ask them is to demonstrate a governance structure and a headline map of who is talking to whom and who is listening to whom. Do services listen to nursing? Does nursing listen to clinical psychology? Do any of those services listen to planned operations or management of the building? Where you get a good outcome, you find the map is co-ordinated and integrated and they are talking to each other. Where you do not, and there are many which present us with maps that are dysfunctional communications, it is no surprise there is disjointed service delivery for people who themselves are experiencing a disconnect. It does not work when the service itself is disconnected. That integration is key. Where we do get good services, it is manifest in the organisational map.