Mr. Pat Healy:

If you look back over the past three to four years - and we have tried to give the data on that - we are on an upward trajectory. The population, the complexity and the ageing are increasing. We will have to keep moving in that direction, but the reform and the reorganisation is part of that. That is why the roles and responsibility are really important. We need to have both reform and investment. That is what I was saying.