Professor Frank Keane:

I think that has to be looked at. My remit is not to look at primary care but I have been liaising with primary care doctors and asking how we can move some of this work out of the acute hospitals in order that it is done in primary care settings. There are issues in primary care. Again, it comes back to reimbursement because part of the reimbursement for doing substantial procedures is insufficient to pay for the actual equipment with which they do the procedure. I am talking about the local anaesthetic, the sutures and everything necessary to do that work. Those are all things that must be looked at.