We talk about reports, analysis and reviews. I am sick to the teeth of this pussy-footing. It is time the Minister had the courage to reform if he intends to reform, although I am sceptical as to his commitment in that regard. In his address he dealt with the major reform initiatives under way and quoted from some of the reports my colleagues have mentioned. He referred to preparing a plan for medical staffing of acute hospitals and said: "This is likely to include reference to the future configuration of hospital services in Ireland." Leaks to the media have been welcome because they warn people of what is pending. However, when we talk about future configuration, we know that we will have the closure of hospitals. We can call it step-down, downgrading or otherwise but there is no doubt that the professionals delivering the service in recent months in the hospitals listed in the leaked report have been terrified and demoralised. All that they have done and how successful they have been in delivering the service are now questioned and, according to the report, there is no place for them in the future.