A second reason for the need for continued investment relates to the current deficits in the system, the addressing of which will be essential in achieving the system changes we seek. Some €500 million has been invested in developing infrastructure under the national development programme. Notwithstanding this significant funding of capital projects in recent years, there is still significant investment required to upgrade facilities such as the Central Mental Hospital, Our Lady's Hospital in Crumlin and a variety of other facilities, especially those providing care for older people. The full development of information and communications technology capability is identified as a prerequisite to improving monitoring and evaluation of services, improving health impact assessment, and in turn giving better value for money. Report after report has identified this as a major system deficiency.