I know we have two reports, but a third one, which is the meat on the bone, is missing. We are talking about centres of excellence. If the Minister of State decided to visit the accident and emergency department of University College Hospital Galway, he would see confusion. The responsibility for that must lie with the general practitioners. The days when general practitioners were prepared to work and to deliver a health service are gone. Health issues are now referred to accident and emergency departments. The Minister must tackle that major problem.