Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)

No, it is not. Let me put it a different way. I said very clearly that the new manager in Tallaght University Hospital, Barbara Keogh Dunne, has done an exceptional job in turning around the patient flow in that hospital since the beginning of July this year, and I can track those hospital figures. Frankly, the manager and the IHA manger are responsible for patient flow in a hospital and the regional executive officer is responsible for the supporting architecture in the region. It is possible to directly show major improvement and persistent improvement. University Hospital Waterford had Grace Rothwell as manager, and when she left, the culture of the hospital had changed and was able to sustain the fact that she had left. It was not dependent on her as an individual. She brought in the changes but Ben O'Sullivan has maintained and facilitated them in University Hospital Waterford thereafter. Connolly Hospital has survived the change of Barbara Keogh Dunne leaving there and moving to Tallaght and the good patient flow has been maintained because the hospital adopted it. It requires two things. It requires a really capable manager. I am looking, for example, at Mary Fitzgerald in University Hospital Kerry, who is doing an extraordinary job in trying to make improvements but needs to be supported by the clinical community, or I am looking at efforts by the clinical community that then need to be matched by hospital managers. It requires both. It requires clinical co-operation and leadership and it requires the management of the hospital together to prioritise this to make sure that people in Letterkenny get the same experience as they do in Waterford or Mullingar or Connolly Hospital. It is not right and it is not fair that you have a different hospital experience depending on the day of the week or the county you live in. That is wrong. If I achieve nothing else as Minister for Health except achieving consistency of good patient flow across the hospitals that does not result in the patient safety episodes we are seeing, that would be fine by me.