While a final draft of the report is pending, it is already clear that the need to significantly reform the existing delivery structure will be put forward as a major proposal. This will include the development of a unitary delivery system involving considerable consolidation of existing agencies; the configuration of services into two broad pillars, one centred on acute service delivery and the other on primary, continuing and community care; and the development of large-scale shared services. This unitary system is being advanced as the most appropriate way to support the individual strengthening of each pillar within the system, while at the same time providing for a more structured approach to integration processes.