Professor Frank Casey:

What happens a lot in healthcare is that people respond to a crisis or pressure point. In terms of leadership, in order to change the way of thinking that will have to come from the top, from our health Ministers buying into this in a bigger way. If we are looking at North-South considerations of health, one of the anxieties for people in the North is that they have been used to the NHS which, for all of its frailties, has given them free care. There is always an anxiety around that. In terms of leadership and building public confidence, there is an issue in that regard. The reality is that in most areas there is very good healthcare on both sides of the island but there are specific areas in both the North and the South where there is particular expertise and we need to focus on bringing those together.