A number of speakers suggested that the reform programme will somehow diminish primary care and community care services. The idea behind the reform package is to ensure the success of our health strategy document, Quality and Fairness – A Health System for You. The section of the document which refers to a new direction in primary and community care focuses solely on the importance of such care. The reform structure that has been proposed allows the primary care model to develop and grow. We need to recognise as a priority the need to strengthen the identified primary care support services and to identify the different management demands of sectors such as technology, organisation and delivery on the ground.