There should be the immediate appointment of the chairperson and members of the interim health service executive, the recruitment of the chief executive officer of the HSE or, alternatively, initially at least, the chairperson of the HSE could be an executive chairperson and the appointment immediately of the national implementation steering group. The implementation of the HSRP should be led, driven and managed by the implementation steering group and not by the Department of Heath and Children, its officials and health board chief executive officers as now appears to be happening.