Professor Cecily Kelleher:

If I make a couple of other points, in terms of the demographics, there has been a change in family units and support that can be given to older family members but we also have a significantly aging population and the older one is, the more likely one is to be in a nursing home facility. We need to see in a comprehensive way how a community support could be put in place for our oldest old.

To go back to the Deputy's earlier point on the management supports, that did not come out clearly through the stakeholder consultations. I believe most of those were focused on the supports that should be coming from outside of it but, again, management support is a key point that we have recommended in respect of HIQA to ensure that the regulations, as well as that support, are in place.