While the report's suggested changes in work practices in certain areas such as accident and emergency departments are good, I wonder if some of them are realistic. At the moment it is suggested that 70% of cases that come to accident and emergency departments, particularly in smaller hospitals, could be dealt with by GPs. The only problem is that we are running into circumstances where we have a shortfall of general practitioners. I am sure the Minister saw the excellent recent article written by Dr. Leonard Condren, an experienced Dublin based GP who recently retired. His words need to be looked at. Even with the improvements the Minister has made in the primary care strategy, we are having trouble attracting people into general practice. I am anxious that we are relying too heavily on GPs taking up the slack from the closure of small accident and emergency departments around the country.