Our first report charts progress with the implementation of the recommendations of the Report in the year to January 2007. We found that the Report has been embraced by all parties as the framework for developing services for people with mental health problems and that important first steps have been taken to implement the recommendations of the Report in the year since it was launched. We also found issues for concern, principally the lack of a systematic approach to implementation of the Report and the lack of clarity in responsibility for implementation in the Health Service Executive. We believe that achieving the successful implementation of the recommendations of the Report requires a commitment to the vision and values outlined in the Report on the part of all the responsible organisations if a transformed mental health service is to emerge. We put forward recommendations as to how the challenge of implementation might be addressed in the year to come.