It is relevant to ask if all stakeholders in this system are willing to participate fully in its reform, in bringing it forward and making sure it delivers. The point was well made by Senator Kate Walsh and others that the focus must be on the patient. If consultants, management and politicians focus on the patient, everything else will fall into place. Senator Minihan quite rightly spoke of the focus being on administration rather than on real management. We have to move beyond that situation in terms of what the patient requires.