We have too many health boards. They do not provide effective governance or management structures for public money in the health service and are not delivering the valuable local and community input into the service that people want. There is too much inconsistency in health planning and delivery and too many agencies in the service. What we need is rationalisation. The public needs to know who is deciding what and why. The taxpayers and users of the services are paying for this, not the Minister for Finance or the Minister for Health and Children.