There has been a shift in roles between the Department of Health and Social Services and health and social services boards. Boards are responsible for delivering programs, while the department is responsible for policy, monitoring and evaluation. Part of this change involves increased financial contributions to boards, which requires an effective third-party accountability framework for boards and non-governmental organizations involved in delivering health and social services.

Committee members stated that although much of the responsibility for the delivery of health and social services has been devolved to the board and agency levels, the government, the Department of Health and Social Services, Members of the Legislative Assembly and most importantly the public need to know if they are receiving value for money.