Mr. Tony O'Brien:

The answer is one simply cannot if one looks at the map. Let us take the Ireland east hospital group, as I think it was discussed here recently and Deputy Kelleher asked a specific question on it. It runs from Wexford to Kilkenny, St. Columcille's, St. Vincent's, the Mater and then to Navan. There is an articulated rationale for that group but that rationale could not apply in a community setting. One could not have a community health organisation that followed that track and transected Dublin in that way. If one started from a community based approach, one would never draw the map that way for community services.