In the next few weeks the Government will consider the 2011 Estimates for the health service in the context of the strategy for economic recovery and the target to reduce the general government deficit to 3% of GDP by 2014. Our current financial difficulties do not in any way dilute the Government's commitment to mental health services. The challenge we face is whether we should park A Vision for Change until the recession passes or embrace change by involving the Genio Trust, the Health Service Executive, community mental health teams and others. We should always maintain the commitment to A Vision for Change and outline each year what can be delivered under the programme.