Mr. Tony O'Brien:

I agree. When one or two agencies engage in this type of practice, it leaves others at a competitive disadvantage and many encourage a flow of this kind of behaviour among those who do not have the right but have the ability to do these types of things.

That, in turn, gives that sector a competitive advantage over the statutory sector - that is, the entities currently directly managed by the HSE, where neither these freedoms nor these abilities exist.