Brian Cowen (Laois-Offaly, Fianna Fail)

Other legislative proposals, including the nursing homes Bill and the legislation dealing with health insurance, which is an important matter, have had to be prioritised. Work on some of these Bills is continuing. The Minister for Health and Children has, in fairness, brought in more legislation to ensure uniform standards and eligibility rules in the aftermath of a variation of interpretations during the old health board era and must be given credit for doing so.

I do not accept the Deputy's contention. I reiterate what I said earlier in response to other Deputies that the service plan includes €14.7 billion for the provision of health services in this country next year, a substantial amount of money. This sum is €580 million greater than that provided this year, taking into account the nursing home subvention provision. That is a substantial amount of money. It is being contended that without further work practice changes it will be difficult to maintain the type of service levels currently being provided. I believe, given the current economic situation facing this country, there is a duty on all of us to ensure we agree whatever must be agreed in this respect so that we do not affect front line services and patients' access to such services.

A contribution of €14.7 billion by taxpayers is a considerable commitment and one that warrants that type of co-operation at hospital and service level. In fairness to those who represent workers in this area, I believe that co-operation will be forthcoming because of their commitment to the provision of a health service in line with current realities.

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