The health service executive will not be remote from people and will have plenty of input from Oireachtas Members, consumer groups and the public. The creation of the new executive will allow a better focus on consistent service levels and budget management across hospitals, primary care and community health services. The creation of a national hospitals office as part of the executive will give a welcome national focus to hospital service planning and management. It is the only form of management and governance that can hope to address the issues that will be raised in the forthcoming Hanly report on medical staffing and hospitals.