Mr. Ciar?n Devane:

Everybody is proud of their own hospital, service or whatever, but you can never do enough collaboration. We have to make sure operations and the clinical community cross-fertilise more.

I will give one example. When I was describing the committees, risk with regard to the organisation goes to one committee and clinical risk goes to another committee. That can be okay, but if it means there is not cross-pollination of how you manage risk well between the professionals who do risk management across the HSE and the clinicians who do clinical governance, as they would phrase it, across the HSE, then the sum is lesser than it might otherwise be. One of the things I hope we will be seeing is that we find ways of having the different interests, let us call it, in the room at the same time.

The third group we are beginning to get better at but have further to go is engaging the patient voice in that debate and making sure it is not the case of talking to the clinicians today and to the patients tomorrow. We need them all in the room at the same time.