Dr. Rosalyn Tamming:

That is the million dollar question because one wants to try to maximise the most efficient use of the staff one has. There is a danger there, however. The congregated settings were an efficient model if we look at it from a staffing point of view. One requires less staff for the same number of people than if the clients are out in the community in shared houses, but that is not a solution because one is going backwards then. We have to be very careful about voices that are coming up around recongregation. That is really important. There are lots of issues in the staffing pipelines for attracting people into the health and social care services, retaining them, having career progression, and all those issues looking at pay. Some of the recent increases in pay for section 39 agencies have been quite helpful. They stopped people going to the HSE, or wherever, for better pay. I do not know if it has fully stopped it but things like this make for a level playing field and are important.