Dr. Matthew Sadlier:

I have to agree with the Deputy. There is definitely a phenomenon of reform fatigue among people like us on the front line of the health service. We need incremental improvements on the front line, not overarching structural changes to the structure of the health service. I did not start my working life in the HSE, I started it in the health boards. I have worked for 19 years in the HSE, health boards, community health organisations, integrated care areas and the National Hospitals Office. Again, we are to have another set of reforms and another set of structural top-level reforms. Will they, however, deliver an extra occupational therapist in Mulhuddart? Will they deliver an extra clinical psychologist in another part of the country? The point is that we are advocating for front-line services. We know where the deficits are and hat the problems are.