The programme for Government refers to the full implementation of A Vision for Change, which we welcome. A Vision for Change outlines how mental health services should have established governance, autonomy and independence to enable proper management structures to function. Yesterday, Tony O'Brien, director general of the HSE, outlined how he intends to merge the national directorships of primary care, social care and mental health services. This has the potential to dilute and undermine what the Government has allocated for mental health in future budgets, especially if there is no specific national director for mental health services. Can the Tánaiste clarify whether the Government supports the director general of the HSE and his change in position from a Vision for Change or is the Government going to clarify the situation with him?

Clearly, what the chief executive of the HSE was presenting yesterday was the best possible approach to the management structures within the HSE and how they should be taken forward.

That is not in A Vision for Change.

Let us be clear: the Government is absolutely committed to the implementation of A Vision for Change. As Members are aware, extensive recruitment has taken place but difficulties remain in terms of recruiting certain specialist staff in order that the community care teams and mental health teams can be built up. There has been a sea-change in respect of those teams. There are still gaps but considerable funding has been provided.

The discussion about management structures in no way impacts on the delivery of A Vision for Change or the budgetary commitment that is in place.

My point is that they run contrary to A Vision for Change.

The time is up. I apologise to the Tánaiste and Deputy Chambers and to the six remaining Members who have offered to contribute.