Unfortunately, political debates on health seem to concentrate on health boards. The Progressive Democrats' manifesto last year staed our management structures were not yet organised to deliver the best results for patients. We signalled that: "The health strategy provides for an early and clear report on health agencies and management structures", and concluded: "It is vital to all our people as well as all working in the health services to have health management structures that are tuned to delivering quality services and care for all".