Mr. Ciar?n Devane:

The move to the regions and to the health areas is hugely positive for a number of reasons. One is that it is the enabler for genuine population-based healthcare. That has to be good. The second thing is that it forces us to have a more collective culture, let us say, where not everything goes up to Dr. Steevens' Hospital and comes back down again. Taking the, let us call it power, out of that building as much as possible and giving it to the regional health areas has to be a good thing. That will allow benefits but only if the culture is also right. I am never a fan of people taking a kind of structural approach to something which is not a structural problem.

One of the things Bernard will have to do is make sure there is crossway communications so that if you are a clinical lead in one region, you have a peer in another region, or several peers in several other regions, whom you talk to and you do the kind of sharing and learning which many health systems, including our own, do not always do as quickly as they need to.

Do I like the new aggregate structure? Yes, I do. Do I think it fixes everything? No, because that is why-----