Liam Doran

and vision.

And with respect, we haven't had it to the totality of what Sláinte Care is about.

Two, it requires strong management within the HSE.

And the roster, the internal audit thrown up this week suggests we don't have that strong management within the HSE.

They're not getting the benefit of it.

And thirdly, it requires societal buy-in and confidence that the new model that we evolve to will provide the same quality by levelling up, but not by levelling down.

And can we be confident in that?

No, not in the sense that we speak with, you know, governments can speak with two or three dimensions on this.

Like the minister was quite rightly very strong on the public only contract.

But it is for the last number of 12, 15 months, we've had a pay a number strategy in the health service, which is directly, it's a recruitment embargo in all but name.

And we had the master of the rotunda this week come out, correctly point out, now I wish the rotunda had been very loud in this over the last 12 or 18 months, that they're sharp midwives.

They should have wanted 29.5 by international best practice.

No hospital in this country has it.

In Portlaoise, 15 years ago, David, we had one midwife to 55 births.

And we know what happened there.

We haven't.

We're better than that now, but we're still not at the international norm.

So we have we can't have sláinte care if on the one hand we clap ourselves in the back because we did the right thing about public only contract.

But on the other hand, we preside over a failure.

to invest in staff if consultants have to work Saturdays and Sundays and be rostered we need more consultants and less NTHDs we need more nurses and midwives in hospitals in the community we need more physios OTs dieticians in the community small injury units have got to be open extended hours in the community all those things have got to happen and when they happen