This calls for the adoption of clear responsibilities for financing investments that would better take into account the bigger picture. It declines when several levels of government are involved in key health-care decisions, as is the case, for example, for financing new hospital building and high-cost equipment in several countries, including Poland (OECD, 2010a). According to Zukowski, the NFZ should play such a co-ordinating role, including planning of long-term needs, prevention, and financial and quality supervision.