This situation will get worse, not better because such patients are living longer and there is an improved survival rate among babies born prematurely but who have a high morbidity rate and babies with congenital and genetic defects. Older people become most difficult to deal with because they become bedridden. There is a major problem in this area and I hope the Minister of State's reply will not outline all the Government has done. I recognise what has been done as the Government has made a significant effort but I am concerned about the report on St. Mary's. The administrators must have been at the point of despair to have released it. Is there a shortage of money or, worse still, can staff not be recruited to work in such institutions? Is it not essential that an inspectorate for these institutions should be established immediately?