As I outlined, many vacancies exist despite the efforts made to fill the posts. Why are we unable to train the numbers required for our own health services? There are people coming in from South Africa and from various other countries where we are trying to recruit personnel. Why has there been such a shortfall in the recruitment of experienced people? People of the required quality are certainly coming out of second level education and Ireland has for decades exported some of the best health care workers to be met anywhere. This is an amazing problem. From my personal experience, I know of people who are admirably suited and have tried to get training positions but cannot do so for a variety of reasons. A study published in July 2002 dealt with the future shortages and requirements regarding certain health care professionals and how this could be dealt with. I wonder if the recommendation of a major expansion in the training of each of the therapy grades has made any progress.