Ms Catherine Keogh:

Yes, there should be an increase in admininstration. However, there must be an IT system that ensures when a patient moves from one hospital to another that he or she does not need, as in my case, to have to endure the reapplication of a plaster of Paris. I am a hardy middle-aged woman but it would be unacceptable if an elderly person had to wait in an accident and emergency unit for a second time and, being practical, it is not economically sensible. Fórsa strongly advocates local and regional thinking. That is why Fórsa got so heavily involved with the learning sites because we advocate bringing things back to the local level and empowering decision-makers. We were not being facetious when we said there needs to be more targeted administration.