If I was in charge of health service like Mary Harney, I would just go to Canada which has a super health service hospitals really well run.We have the cash to have a super health service but we need a top manager to put it right, so why not go to Canada and headhunt the guys over there who made their Health service great, and pay them 5 million a year for 5 years to manage our hospitals and then a big bonus after thay have us where we should be, I have spoken to friends in Canada who said per head Canada have not spent on health as we have yet they are in the top three in the world. To attract the best you need to pay top market price's, look at all the best company's in the world Microsoft, Dell, Honeywell etc all their top guys are on huge money, why because you pay for what you get.