Enda Kenny (Mayo, Fine Gael)

I meet people from the north west regularly. They are consistent on a strong programme of issues that should be addressed in the north west which have been neglected for many years. Both parties in Government have particular views about several locations around the country. The programme for Government is very clear about the introduction of universal health insurance at the end of the Government's term of office, the provision of primary care centres and teams, the development of strong community care protection and the provision of special facilities in particular locations. The Government is working on this programme.

The question of the provision of adequate health facilities in every hospital is always under consideration. The relevant medical teams which are looking at the future role of and the expansion of services in smaller local hospitals are in the process of completing their review. The future of those particular groupings of hospitals will be a matter for public consultation.

The review of the groupings of larger hospitals with smaller ones is also under way by the medical and clinical teams. When that is finalised, it will become a matter for public discussion and a decision by the Government.

Deputy Martin's question about the long programme of issues in the north west is one with which I am intimately acquainted. One can go to many other places and hear equally strong views about issues too. Suffice it to say, the Government's intention is to implement its programme for Government regarding health services. It is a challenging way forward in changing the structure and decision process that will lead to best care and attention for patients which should be central to every health programme.

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