Due to the changing profile of those who have been in services for many years, there is a need to review issues such as staffing levels and skill mix. For example, an increased need for additional night cover has arisen in many agencies because of the more dependent profile of the residents due to old age, illness or behavioural issues. An ongoing review process has been under way for a number of years with the health boards and voluntary agencies, with funding allocated annually in recent years to meet these identified needs.