Prospectus completed an audit of the Irish Health System for the Department of Health to ensure that the various organisations that make up the health system are properly aligned to deliver on the goals of the national Health Strategy. The functions and governance arrangements of 58 individual organisations were examined. The purpose of the audit was to ensure clear lines of accountability and communication between each part of the system, no overlap or duplication between organisations, and a proper alignment of the structure as a whole to the vision and objectives outlined in the Health Strategy. The results of the audit were incorporated into the Government’s Health Service Reform programme and form the basis for the on going restructuring of the Irish Health Service.