Mr. Chris White:

I will take some of them and Mr. Mullaniff will jump in to cover any gaps I have laid. I thank the Deputy for her questions. They were good ones and I know she has lived experience of this issue. Her insight is important.

Our engagement with the HSE is multifaceted, deep but also shallow, and something we value. It is a collaboration we are always seeking. It works in many different ways. It is not ideal or perfect. The reorganisation of the HSE into regional health areas has been a missed opportunity, in that there is an opportunity to engage with certain large-scale section 39 agencies on a national level rather than being fed into six or 21 individual relationships.

The burden of governance and administration in running all of these service arrangements is significant and understated by the HSE. We are not funded effectively in how we engage with the HSE. The Deputy is entirely correct, in that our focus has been to put as much money as possible into our front-line services. We do that to the extent that Vision Ireland subsidises the HSE to the tune of 30% of the cost. Through our ability to generate our own funds, we are effectively subsidising the State to the tune of approximately €3 million every year. The sustainability of that is coming to a rapid end because of increasing needs in terms of the WRC pay settlement, pensions auto-enrolment and a range of other governance issues in whose respect we cannot continue subsidising the State.

For the other details, I will pass over to Mr. Mullaniff.