I think with anything, if you have a vision of where you want to go, that helps. The accord provided an overarching vision of where we wanted to go in terms of health reform, but outcomes don't get achieved very easily. Going from visions to outcomes you have to develop some very clear strategic plans, some strategic activities that need to be followed. In some ways we need to go back to that step, because I don't think it was done well enough to give a really clear sense of movement forward. You can't develop comparable measures if you have different ways of approaching issues and so on. We just need to work more collaboratively in future, and governments do as well, to redefine where they want to go and what the priorities are and translate that into more concrete actions that we can then clearly evaluate.
On May 6th, 2008. See this statement in context.