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. The proposals also include the development of an improved system of governance and accountability, which will clarify and create appropriate boundaries between the delivery system and the Department of Health and Children. This is intended to allow the Department to focus more actively on its role in policy development, population health planning and the monitoring and evaluation of the impact of the delivery system on health status. The proposals emerging will support the commitments in the strategy in relation to reform of acute hospital services and the likely changes required, in terms of configuration, anticipated in the health strategy. It will provide a more adequate unitary approach to the delivery of hospital services, which in turn will support the more even and consistent introduction of consultant-delivered services.