I want to ensure that as many services as possible can be provided safely in smaller, local hospitals. On this basis, the organisation of hospital services nationally, regionally and locally will be informed by the Clinical Programmes. These Programmes have been developed and implemented by a joint HSE/Departmental group who have also drafted the Framework for the future development of smaller hospitals. Consultation with all the stakeholders, including patients and public representatives, will be an integral part of the process. This framework will demonstrate clearly that the future of smaller hospitals is secure. It will set out what services can and should be delivered safely by these hospitals in the interest of better outcomes for patients. I expect to be in a position to publish the framework shortly.