Accountability is required, both nationally and locally, but the reports point directly and significantly to a lack of accountability within the current system at national level, despite a huge commitment and investment by the Minister and his Ministers of State. If accountability is required nationally, then, equally, it is needed locally. At national level, the health executive and its three core pillars will have to be accountable to the Minister and, through him, to the Dáil and Seanad, as well as the Oireachtas Committee on Health and Children.