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Roy McConkey OBE, Emeritus Professor, Ulster University in Ireland asks a number of questions: Do we keep evolving or is a revolution needed? Have professionals created a world that suits themselves but not the service users? How do we reduce duplication and move away from a risk-averse model of provision which limits trying new things? Rationing of services may give the appearance of a services but are people's needs being met? Are existing service frameworks fit for purpose? Do we need staff with skills beyond health?Introduced by Donald Macleod, Conference Chair. Recorded at The 10th International Short Break Association conference, 13–15 September 2016, Edinburgh, Scotland. Transcript of episode Music Credit: Something Elated by Broke For Free