But the plain fact is, and genuinely I mean this, er, er, erm, if it were as simple working across the boundaries between yourselves and the Health Authority, between yourselves and the private sector, with the voluntary sector, and the great army of unpaid helpers  if it was that simple, erm, then we would have moved a long way along that line towards implementation of a humane and caring care in the community twenty years ago, when these debates first started.