Mr. Stephen Mulvany:

At the moment, it does not involve as a routine matter disciplinary action. I am not suggesting that is an easy or the only option, but I suggest that it needs to involve far more engagement with consultants at every level and focus, including perhaps a little bit of naming and shaming, which happens to an extent in the hospitals that do this well, and an acceptance by all consultants that this issue is one that matters. In fairness, a lot of demands are placed on consultants in what is a very busy clinical schedule around ensuring they are available to do a great many tasks. At the moment, this one does not get as much focus.