The key recommendations of the Brennan report are the establishment of an executive to manage the health service as a unitary national service, more appropriate financial control systems and substantial rationalisation of existing services. The report also recommends that all future consultant appointments should be on the basis of contracting them to work exclusively in the public sector, but this will not happen unless a serious move is made to sideline or take on consultants. Other recommendations include the reform of the medical card and general medical services schemes and publicly funded drug schemes.