The proposed measures include a major rationalisation of existing health service agencies. I said last Tuesday that it sometimes appeared that if someone had a pain in his or her big toe, an agency was sent up to deal with it. The situation had become ludicrous. This is an important aspect of the report. There was huge duplication and no one knew who was responsible for anything. There is to be consolidation and amalgamation of the 32 agencies, including the abolition of the health board system. Nothing is cast in stone and time marches on. The health service executive will be the first ever body charged with managing and delivering the health service as a single national authority.