Public Meeting to Discuss Proposed NHGRI Reorganization - Q&A


Uploaded by GenomeTV on 16.02.2012

Transcript:
>> OKAY. SO JUST TO START WITH, I
WANT TO ASK IF THERE IS ANYONE IN THE AUDIENCE FROM
THE PUBLIC THAT WOULD LIKE TO OFFER MY COMMENTS OR ASK
ANY QUESTIONS AND IS - FU COULD PLEASE GO UP TO
THE MICROPHONE? AND SINCE THERE IS NOT A MAD
DASH TO THE MICROPHONES, WE'LL GO AHEAD AND OPEN IT
UP TO COUNCIL NOW IF THERE ARE COMMENTS HERE AND OTHERS,
PLEASE FEEL FREE TO COME UP TO THE MICROPHONE AT ANY
POINT. AND AGAIN, FOR THOSE ON THE
PHONE, ONLY FU DO HAVE ACCESS TO A COMPUTER, PLEASE
EMAIL TO THE NHGRI COMMENTS AT NIH.GOV AND I'VE GOT THE
INBOX OPEN RIGHT HERE AND WE'LL READ YOUR QUESTIONS.
GREAT. >> SO I THINK -- I'M GLAD
YOU ADDED THE REASONS WHY YOU WANTED TO DO THIS AND
THE ADVANTAGES. ARE THERE PARTS THAT ARE
REALLY BROKEN RIGHT NOW? I MEAN, MEANING -- AND I
THINK THE IDEA IS NOW THAT YOU HAVE -- IT'S THAT IT'S
HIKERAL I GUESS BUT EACH OF THOSE DIVISIONS WILL HAVE
SORT OF THEY DON'T NECESSARILY REPORT TO THE
DIRECTOR ON EVERY -- AND THE WAY THAT SOME OF THEM HAVE
BEEN NOW, RIGHT? >> WHEN YOU SAY DIRECTOR, DO
YOU MEAN THE INSTITUTE DIRECTOR?
>> YOU. >> SO AT THE MOMENT, ONLY
THE DIVISION DIRECTOR REPORTS TO ME.
>> RIGHT. >> SO UNDER THIS MODEL FOUR
DIVISION DIRECTORS WOULD REPORT TOOLE.
>> NOT DIVISIONS BUT OFFICES. CURRENTLY HOW WOULD THEY
OPERATE DIFFERENTLY THAN THOUGH SHE DO UNDER THIS?
>> TO BE HONEST WITH YOU, THE ADMINISTRATIVE DIVISION
AND THE DIVISION OF POLICY COMMUNICATION AND EDUCATION
-- THAT WILL NOT CHANGE. I MEAN, THAT IS ESSENTIALLY
A NAME CHANGE. THOSE DIRECTORS, LAURA AND
JANICE REPORT TO ME KNEW AS OFFICE DIRECTORS AND THEY
WILL REPORT TO ME AS DIVISION DIRECTORS.
THAT'S ACTUALLY NOT A SUBSTANTIVE CHANGE WITH
REGARD TO REPORTING AUTHORITY.
AND I REALLY WANT TO EMPHASIZE NO, I DON'T MEAN
TO IMPLY FOR A PIN THAT ANYTHING IS BROKEN.
BUT IT'S MUCH MORE LOOKING TOWARDS THE FUTURE IN TRYING
TO ANTICIPATE WHERE I THINK WE NEED TO BE AT A LOT OF
DIFFERENT LEVELS, INCLUDING HOW VARIOUS THINGS ARE DONE
THAT I BELIEVE THAT NOW IS THE TIME TO SORT OF SITUATE
OURSELVES IN A WAY TO ANTICIPATE THE NEW
CHALLENGES WE FACE WITH A BROADENING SCIENTIFIC
PORTFOLIO. >> I THINK YOU WANT TO BE
CAREFUL -- YOU MAY HAVE SAID THIS.
AT LEAST FROM OUTSIDE AND ALMOST KIND OF ALMOST
INSIDE. BUT THE OUTSIDE IT LOOKS
LIKE EVERYBODY WORKS WELL TOGETHER AND IS REALLY
COOPERATIVE. IT'S AN UNUSUAL GROUP
COMPARED TO OTHER GROUPS. >> SO RICK, I REALLY WANT TO
ECHO AND GUARANTEE YOU THAT WE HAVE TALKED ABOUT THAT
ISSUE INTERNALLY MORE THAN ANY OTHER ISSUE.
AND THE REAL KEY IS THIS SLIDE HERE.
IS THAT WHAT WE'RE TRYING TO DO IS THREAD THE NEEDLER OF
HERE OF -- THERE IS A LOT OF REASONS WHY STRUCTURE IS
GOOD FOR AN ORGANIZATION, BUT IF STRUCTURE CREATES
COMPARTMENTALIZATION. THEN IT WILL BE A DISASTER.
SO THE WAY WE'VE ORGANIZED THIS HERE, EVEN WITH THE
COLORS, AND EVEN WITH THE WAY WE THOUGHT ABOUT IT,
TALKED ABOUT IS WE'RE TRYING TO GET THE BEST OF BOTH
WORLDS. I BELIEVE, IF THERE IS ANY
INSTITUTE THAT CAN GET THE BEST OF BOTH WORLDS, THIS IS
THE INSTITUTE THAT CAN DO IT. AMY?
>> I THINK THIS MAKES A LOT OF SENSE, AND SO I GUESS
THERE IS THE INTERNAL RUNNING OF YOUR OFFICE, AND
I CAN SEE HOW THIS WORKS REALLY FOR NOR THAT.
GIVEN SORT OF THE CROSS- CUTTING
NATURE OF THE GREEN BOXES, FOR THE EXTRAMURAL
INVESTIGATORS WHO ARE FUNDED THROUGH NHGRI, HOW DOES THIS
IMPACT SORT OF WHO THEY ARE ACCOUNTABLE TO AND
ESPECIALLY FOR THOSE WHO HAVE CROSS CUTTING SORT OF
SCIENTIFIC AND GENOMIC MEDICINE PROJECTS THAT
OVERLAP? HOW DOES THAT GET IMPACTED?
>> WE DON'T BELIEVE -- I THINK THERE IS DOING -- WE
DON'T BELIEVE THAT NECESSARILY THIS
REORGANIZATION WOULD RESULT IN SUBSTANTIVE DIFFERENCES
TO THE PROGRAM DIRECTORS THAT YOU ARE REPORTING TO.
I'M GOING IT LOOK AT OTHERS. I THINK THE DIRECT
RELATIONSHIP YOU HAVE AROUND A GIVEN PROGRAM, A GIVEN
PROJECT WILL REMAIN THE SAME HERE.
THAT PERSON'S BOX MIGHT BE DIFFERENT.
BUT THAT PERSON -- THE SUPERVISORS MIGHT BE
DIFFERENT BUT THE PERSON AND THAT PROGRAM -- BECAUSE I
BELIEVE THAT WHERE MOTE OF YOU INTERACT ARE AROUND THE
GREEN THINGS AS MUCH AS THING NIG AND THOSE ARE NOT
GOING TO CHANGE. >> OKAY.
MY FOLLOWUP QUESTION. CAN YOU -- YOU SAID BEFORE
THAT THE DIVISION OF GENOMICS IN SOCIETY WAS GOING TO
INCORPORATE THE LC RESEARCH PROGRAM BUT BE BROADER THAN
THAT? CAN YOU SAY WHAT YOU MEAN BY
THAT? >> IT GOES TO THE SAME SET
OF ISSUES THAT WERE DISCUSSED EXTENSIVELY DURING THIS
STRATEGIC PLANNING PROCESS THAT LED TO THE PUBLICATION
IN NATURE, IS THAT THERE IS, I BELIEVE, AND I THINK I'VE
HEARD FROM OTHERS, THAT THE RESEARCH PROGRAM HAS BEEN
WILDLY SUCCESSFUL. THAT THERE MIGHT BE SOME
AREAS AND BEHAVIORAL RESEARCH MIGHT BE ONE AND
THERE MIGHT BE OTHERS WHERE IN PEOPLE FELT THEY DON'T
QUITE TIT INTO THOSE THREE LETTERS.
AND THAT, IF WE SIMPLY COULD BROADEN IT AND WITHOUT
LOSING IT, BUT JUST BROADENING IT AND
INCORPORATE THAT THAT WE CAN GET A WIN-WIN.
ONCE AGAIN, I THINK WE'RE LOOKING TO THREAD THE NEEDLE
HERE OF BUILDING ON OUR PAST SUCCESSS AND NOT GETTING TOO
CONSTRAINED WITH JUST THREE WORDS AND MAYBE GIVING US
MORE FREEDOM TO OPERATE. I DON'T MEAN TO IMPLY
ANYTHING BUT GROWING ENTHUSIASM FOR THAT SET OF
ACTIVITIES AT THE INSTITUTE. >> OKAY.
>> SO I THINK IT'S A REALLY GOOD IDEA THE WAY YOU'VE
ORGANIZED IT WITH CROSS- CUTTING
THEMES. BUT I WOULD BE INTERESTED IN
HEARING A LITTLE BIT MORE, FU HAVE THOUGHTS ABOUT
WHAT THE ROLES OF THE DIVISIONS THEMSELVES WOULD
BE. NOT TO CREATE SILOS BUT IF
YOU ARE GOING TO FUND A LOT OF THE ACTIVITIES WITH THESE
CROSS CUTTING THEMES, -- SO I WOULD SAY TWO THINGS.
NUMBER ONE IS TO PROVIDE INTELLECTUAL AREAS OF
CONCENTRATION. I MEAN, I DO BELIEVE THAT
WHERE THE GREATEST CONCENTRATION OF EXPERTISE
IN GENOME SCIENCE IS GOING TO BE IN THAT DIVISION.
IT WON'T EXCLUSIVE AND DO I BELIEVE THAT THE MORE
POPULATION-ORIENTED, MEDICALLY-ORIENTED
CONCENTRATION WOULD BE THE DIVISION OF GENOMIC MEDICINE
AND ONE OF IT IS TO TRY TO SORT OF PROVIDE THAT LOCAL
ORGANIZATIONAL CHART THAT SORT OF LOCAL GROUPING OF
EXPERTISE. AND THEN I THINK THERE IS A
SECONDARY ISSUE OF WE ARE A GROWING ORGANIZATION IN
TERMS OF SHEER NUMBERS AND I THINK IT'S REALLY HARD TO
HAVE TOO MANY PEOPLE REPORTING TO ANY ONE PERSON
AND IF I DIVIDE IT UP, I THINK THERE IS MORE
PROFESSIONAL DEVELOPMENT THAT CAN BE DONE BY THESE
DIVISIONAL DIRECTORS BY HAVING THEM BROKEN UP INTO
SMALLER GROUPS. MAKING SURE THAT'S HAPPENING
AS WELL WOULD BE VERY BENEFICIAL AS WELL
>> ERIC, CAN YOU COMMENT ON THE RELATIONSHIP OF THESE
THREE PROPOSED DIVISIONS TO THE OTHER DIVISIONS THAT
APPEAR HERE ON THE WEBSITE, NAMELY, THE DIVISION OF
INTRAMURAL AND EXTRAMURAL RESEARCH?
>> SO LET ME BE CLEAR THAT -- SO WHAT USED TO BE THE
DIVISION OF EXTRAMURAL RESEARCH NOW BECOMES FOUR
THINGS. SO THE DIVISION OF
EXTRAMURAL WILL GO AWAY AND REPLACE IT AND THERE WILL BE
FOUR NEW DIVISIONS ON THE FAR RIGHT.
DIVISION OF INTRAMURAL RESEARCH WILL REMAIN
ESSENTIALLY THE SAME. BUT RIGHT NOW WE HAVE ONE
INTRAMURAL DIVISION AND ONE EXTRAMURAL DIVISION.
BOTH SIDES AND LIVED IN DIFFERENT PARTS OF THE
INSTITUTE. THERE IS SOME INTELLECTUAL
INTERACTION BUT ONE IS TO DO GRANTS AND CONTRACTS AND THE
OTHER IS TO DO ACTIVE ON-CAMPUS RESEARCH QUOTE
UNQUOTE. I WOULD SAY THAT THOSE
INTERACTIONS WILL REMAIN ABSOLUTELY THE SAME.
THE INTERACTIONS BETWEEN INTRAMURAL AND EXTRAMURAL
WILL REMAIN UNCAID. THEY WILL BE DISTRIBUTED
ACROSS MORE EXTRAMURAL DIVISIONS BUT I DON'T THINK
THAT'S GOING TO HAVE ANY IMPACT ON INTERACTIONS.
YOU LOOK PUZZLED. >> I'M JUST CURIOUS -- SO DO
YOU VIEW THIS AS A WAY TO GIVE MORE DIRECTION TO THE
EXTRAMURAL-FUNDED PROJECTS THAT YOU AREN'T ABLE TO DO
NOW OR IS IT A WAY TO FLUSH OUT THE BEST IDEAS THAT ARE
OUT THERE AND PUT THEM UNDER A BROADER UMBRELLA SO THAT
FOLKS CAN WORK TOGETHER IN TERMS OF THEIR EXTRAMURAL-
FUNDED PROGRAMS?
WHAT'S THE ADVANTAGE OF HAVING FOUR DIVISIONS VERSUS
ONE DIVISION OF EXTRAMURAL? >> I GUESS I COULD TRY TO-T
ANOTHER WAY IS IS AS THE EXTRAMURAL PROGRAM CONTINUES
TO GROW, HAVING A SINGLE PERSON RESPONSIBLE FOR
SUPERVISING 30-SOMETHING VICTIMS GETS TO BE A BIT
MUCH. SO I WOULD MAKE IT ANALGUS
TO MAYBE A DEPARTMENT OF INTERNAL MEDICINE.
YOU WANT TO BREAK IT DOWN INTO DIVISIONS BECAUSE IT
GETS TO BE TOO BIG. TO ME THIS SORT OF STRIKES
THAT RIGHT BALANCE. >> THANKS.
>> YES. SO FIRST OF ALL, I THINK
THIS IS REALLY GOOD TO DO THIS, AND IT'S
SUPERIMPORTANT THAT THE STRUCTURES ARE ALIGNED TO
WHAT YOU ARE TRYING TO ACCOMPLISH AS A GOAL.
IT'S GOOD. I THINK IT'S VERY GOOD THAT
YOU ARE DOING THIS. SO WITH THESE DIVISIONS,
WILL YOU SHOW THAT CROSS- CUTTING
SLIDE? HOW ARE YOU GOING TO MAKE
DECISIONS AND BUDGETARY AND THINGS LIKE THAT SO THAT THE
DIVISIONS ARE WORKING COOPERATIVELY RATHER THAN
COMPETING WITH EACH OTHER BECAUSE ULT LIM THEY'RE
TRYING TO ACHIEVE THE SAME THINGS BUT I CAN SEE SOME
KIND OF TENSIONS THERE PERHAPS.
MAYBE THAT IS A HEALTHY THING.
BUT I WAS CURIOUS FU COULD COMMENT ON THAT.
>> AN ASTUTE AND FAIR QUESTION.
I AM GOING TO ANSWER IT IN TWO WAYS.
IT'S GOING TO INVOLVE A HUGE AMOUNT OF TRANSPARENCY AND
GROUP PROCESS INVOLVING THE LEADERSHIP OF THESE
DIVISIONS, WORKING VERY EXTENSIVELY
WITH ME. SO THAT'S THE SHORT ANSWER.
THIS WILL BE GROUP DECISIONS. AND WHILE I CAN TELL YOU --
WHAT I CAN TELL YOU IS THAT EVEN WITHOUT GOING TO A
REORGANIZATION, JUST FACING THE BUDGETARY REALITIES THAT
WE ARE FACING RIGHT NOW AND PERHAPS EVEN DIFFICULT
OUTCOMES MORE SO NEXT YEAR, WE'VE ALREADY BEEN WORKING
THROUGH GROUP PROCESSES OF PRIORITYIZING.
I CAN'T SAY MORE ABOUT THAT RIGHT NOW, BUT COUNSEL WILL
LEARN MORE ABOUT THAT BECAUSE THEY HAVE
OPPORTUNITIES TO GET AND LEARN ABOUT SUCH THINGS SO
YOU WILL BE HEARING MORE ABOUT THAT IN COUNCIL'S
SESSIONS. WHAT I WILL SAY IS THE SHORT
ANSWER IS IT'S A GROUP PROCESS, AND TO BUILD
CONSENSUS AND COMPROMISE AND ARGUE AND DEBATE AND
VERY PRODUCTIVE AND WE'VE BEEN DOING THIS NOW FOR
THE PAST FOUR TO SIX MONTHS AND IT'S GOING
EXTREMELY WELL. >> ONE COMMENT.
SO YOU DON'T NECESSARILY ALWAYS WANT TO JUST DO
THINGS BY CONSENSUS. >> RIGHT.
WELL, AND THIS GROUP HERE WILL HAVE SIGNIFICANT
INFLUENCE ON MAKING DECISIONS ON HOW BIG SOME OF
THESE GREEN BOXES ARE, AS YOU DID IN MAKING EVEN MOST
RECENTLY DECISION ABOUTS OUR GENOME SEQUENCING PROGRAM.
THAT WAS A PROCESS INVOLVING WORKSHOPS AND ADVISORS AND
YOU FOLKS AND THEN OUR SEQUENCING ADVISORS AND THEN
STAFF AND LOTS OF -- THAT -- AT THE END OF THE DAY IF THE
QUESTION IS WHO IS GOING TO MAKE THE FINAL DECISIONS?
ME. BUT HOP MY DECISION MAKING
IS MORE INFLUENCING AND GETTING PEOPLE TO COME TO
CONSENSUS. [INDISCERNABLE]
CAN YOU PUT YOUR MICROPHONE ON?
>> GOING BACK TO THE DIVISION OF GENOMICS IN
SOCIETY, NOT TO MAKE TOO MUCH OF A DEAL OUT OF NAMES
BECAUSE THEY DO MATTER AND THEY DON'T MATTER.
BUT OBVIOUSLY, CHANGING IT FROM ELSI TO THIS IS
INTENTIONAL AND HAS BEEN DISCUSSED QUITE A BIT.
>> YEP. >> SO I GUESS WHAT I'M
WONDERING IS IF CERTAIN THINGS HAVE BEEN LEFT OUT IN
THE PAST, WHAT DO YOU IMAGINE HAPPENING WITHIN
THIS DIVISION DIFFERENTLY THAT WOULD BRING THOSE
THINGS IN? >> SO FIRST THING I'D SAY IS
I FULLY EXPECT THE DIVISION OF GENOMEICS AND SOCIETY,
WHEN IT GETS A DIRECTOR AND I WANT TO GIVE LEEWAY FOR
THE NEW DIRECTOR TO COME UP WITH THE FINE ARCHITECTURE
OF IT WILL ABSOLUTELY INCLUDE THE SOCIAL
IMPLICATIONS RESEARCH PROGRAM.
I COULD IMAGINE OTHER THINGS THAT ARE NOT BEING DONE NOW,
BEING DONE UNDER THAT GENERAL RUERIK.
I WOULD ALSO TELL YOU THAT INCREASINGLY WHAT WE'RE
SEEING IS THAT OUR STAFF IN OUR ETHICAL RESEARCH PROGRAM
ARE CALLED ON TO DO AN EXTENSIVE AMOUNT OF CONSULT
ATIVE WORK AND NOT JUST WORRYING ABOUT GETTING
GRANTS AND FUNDING OPPORTUNITIES AND OVERSEEING
GRANTS. BUT IN FACT, THEY ARE BEING
CALLED ON AT VARIOUS STAGES OF PROJECT DEVELOPMENT TO BE
EXPERTS. AND I THINK THAT SHOULD BE
MORE PROMINENTLY FEATURED AS PART OF THAT DIVISION, THAT
THIS DIVISION ONLY HAS THIS ELSI, IT HAS A WHOLE SET OF
CONSULT ATIVE RESPONSIBILITIES THAT GO
TOWARDS THE REST OF THE INSTITUTE AND GOING TOWARDS
THE REST OF NIH BECAUSE WE ARE THE LEADERS IN THIS AND
I WOULD LIKE TO SEW THAT MORE FORMALLY PART OF THAT
DIVISION AS AN EXAMPLE. >> I THINK THAT HAS BEEN
SOME CONCERN IS THAT BECAUSE WE ARE POSITIONED TO MOVE
OUT INTO THE REST OF NIH, I THINK IN A VERY IMPORTANT
WAY, THERE IS SOMETHING PERHAPS TO BE LOST BY THE
LACK OF BRANDING. SO ELSI IS A TERM THAT'S
INTERNATIONALLY KNOWN, AND THERE ARE MANY PEOPLE WHO,
WHEN THEY SAY THEY WANT AN ELSI ISSUE, WITHOUT EVEN
KNOWING WHAT THOSE WORDS BREAK DOWN TO.
I THINK IT WOULD BE UNFORTUNATE TO LOSE THAT,
ESPECIALLY AT THIS MOMENT. >> I WOULD GIVE AN ANALOGY
THE OTHER THING THAT HAS A GREAT BRAND NAME IS A
THOUSAND DOLLAR GENOME BUT I'M NOT NAMING THE DIVISION.
I AM GOING TO SAY THAT WITHIN THE DIVISION OF
GENOME SCIENCES, THERE ARE PROGRAMS THAT CONTINUE ON, I
THINK WE CAN GET BOTH. BY NOT -- WE'RE NOT
EXTINGUISH THE BRAND ELSI. IT WILL BE A PROMINENT
FEATURE. I DON'T THINK WE NEED TO
NAME THE DIVISION THAT. PEARL?
>> THANKS. I ALSO THINK THIS IS A GREAT
MODEL, AND I HAVE A LOT OF ENTHUSIASM FOR EXPANDING THE
DIVISION OF GENOMEICS IN SOCIETY.
BUT I WOULD WONDER, AS IT EXPANDS, WOULD THERE BE ANY
DIFFERENT RELATIONSHIP OR COLLABORATION WITH THE
OFFICE OF COMMUNICATION AND POLICY?
>> SO WELL, ABSOLUTELY THEY WON'T NECESSARILY HAVE TO BE
DIFFERENT A BAD WAY. I THINK THIS IS A GREAT
OPPORTUNITY TO ENHANCE THOSE INTERACTIONS, NO QUESTION.
IN FACT, THERE WAS GOOD DISCUSSION ABOUT THAT IN THE
WEBINAR, QUESTIONS THAT CAME AT EXACTLY RELATED TO THAT.
I WOULD ABSOLUTELY THINK THAT DIVISION AND NEEDLESS
TO SAY, PART OF REASON WHY I SORT OF LIKE THESE SEVEN
DIVISIONS SORT OF AN EQUAL FOOTING.
I CAN ABSOLUTELY IMAGINE LOTS OF ARROWS, BUT WITHOUT
QUESTION THE DIVISION OF GENOMICS IN SOCIETY AND THE
DIVISION OF POLICY COMMUNICATION AND EDUCATION
WILL HAVE WONDERFUL ARROWS GOING BACK AND FORTH IN
GREAT WAYS AND THEY BOTH WILL BE PROMINENT DIVISIONS
OF THE INSTITUTE. >> AND I AM GOING TO SAY
THAT I THINK WE ALSO ANTICIPATE AND LOOK FORWARD
TO BUILDING THOSE SAME KINDS OF BRIDGES WITH THE OTHER
RESEARCH DIVISIONS PARTICULARLY GOING INTO
GENOMIC MEDICINE, THERE ARE A LOT OF QUESTIONS THAT HAVE
TO DO WITH THE DOMAINS OF EXPERTISE WE HAVE AND WE
LOOK FORWARD TO INCREASING THOSE COLLABORATIONS.
>> ROSS? >> WELL, I WANT TO ECHO THE
COMMENTS THAT THIS REORGANIZATION DOES MAKE
SENSE IN THE SENSE OF MOVING THE INSTITUTE TOWARDS THE
DIRECTION OF THE STRATEGIC PLAN.
MY QUESTION -- I AM GLAD THIS IS UP THERE.
ANY TIME SOMEONE SEES WHAT USED TO BE A SIMPLE
STRUCTURE, BREAKING OUT INTO SOMETHING FAR MORE
COMPLICATED, THE QUESTION ARISES IS WHAT'S THE COST,
IN PARTICULAR, THERE THERE BE AN IMPACT IN THE RESEARCH
FUNDING? AND I WANTED TO GIVE YOU THE
OPPORTUNITY TO ADDRESS THAT. >> YEAH.
ABSOLUTELY NOT. I MEAN, THERE ARE SOME VERY
BASIC AND SIMPLE THINGS THAT ARE DONE AT A VERY EARLY
STAGE IN THE FISCAL YEAR TO HOW MUCH MONEY GOES TO EACH.
MAJOR AND THERE IS ABSOLUTELY NO INTENTION TO
ADJUST THE PERCENTAGES GOING TO THE DIFFERENT AREAS.
AND TO BE HOSPITALS WITH YOU, I DON'T BELIEVE THAT
CHANGING THE STRUCTURE SHOULD HAVE MUCH BUDGETARY
IMPACT ON HOW WE DO BUSINESS, TO BE HONEST WITH YOU.
ANY EMAILS? >> NO, WE WEREN'T HAD ANY
EMAILS YET. ARE THERE ANY OTHER
QUESTIONS FROM THE AUDIENCE? OR FROM COUNSEL?
OKAY. SO THANKS VERY MUCHV IF
ANYBODY THINKS OF ANYTHING, THE EMAIL INBOX WILL STAY
OPEN SO PLEASE SEND THE COMMENTS.