Mr. Damien McCallion:

From the HSE's perspective, we have a national performance and accountability framework that covers all our services. Each CHO, including the one covering the mid-west, as the Senator mentioned, has a chief officer. Under that, a head of mental health services and an executive clinical director works alongside each other to oversee all mental health services and the CAMHS teams. Dr. Burke might speak further about that. There is a strong accountability framework within the HSE.

The Mental Health Commission undertook its review of CAMHS on a one-off basis. As the Senator may know, one of its recommendations was that the service should be regulated in the long term. There has been a gradual increase in regulation of mental health services. My colleagues might comment briefly on that. The commission's work is a matter for the Department and a policy matter for the Government.