We hear very little from the Minister about his future plans, only about reports. Every sort of report seems to be emanating from the Department of Health and Children. As we speak, two or three more are shortly due to issue while the situation on the ground has deteriorated. Whether it is a question of disputes with doctors or nurses, patients bear the brunt. Patients are not concerned with whether the delivery of a top class health service comes via the public or private sector – they simply want a service which is working and delivers when needed.