The Minister has taken a radical approach to ensuring optimum benefit is garnered by the people of the country from what they pay for health services. The national health service reform programme will change the health service as we know it today. It will maximise the level and quality of our services and create a system that is accountable, effective, efficient and capable of responding to the needs of every patient throughout the Republic of Ireland. It includes measures which will impact on every element of the health system and draw on the conclusions and recommendations of the report of the Brennan commission on financial management and control systems in the health service and the Prospectus audit of structures and functions in the health system. We will soon have the Hanly report, which looks at the whole area of medical manpower etc.