My Department commissioned Prospectus Strategy Consultants in June 2002 to undertake the audit. The preliminary response of the consultants was to identify the need for the consolidation of structures within the health system. It is important to acknowledge that the findings and recommendations of the consultants must be considered in the context of the considerable achievements of the system I have just outlined. These achievements are an indication of the commitment at individual, professional and corporate level within the system. It is important to be clear that the findings relate to systemic problems and in no way reflect the considerable expertise, skill and dedication of the workforce.