Paschal Donohoe (Dublin Central, Fine Gael) | Oireachtas source

I agree that it is unlikely there is any badness or malice involved. However, this does influence when they are paid. If a consultant knows that signing a particular document will influence when he or she will be paid, it will be a reasonably influential factor in how he or she allocates his or her time.

There is a clear pattern as many of the consultants, until the progress demonstrated today, were waiting a very long time to sign these forms.