Mr. Tony O'Brien:

This is an unintended consequence of two issues One is the proto-establishment of the hospital groups at the same time as restrictions on employment led to the development of communications capability on an outsourced basis. It is not universal, but applies to some groups. We have assessed the variability to which it gives rise, given that we also have groups that have insourced communications. We intend, as strategically as we can in light of employment numbers, to move towards an insourced basis. In the performance and accountability framework that will be published alongside the service plan for next year, the specific issue of the way information, reputation and good accountability through communications is stewarded will be addressed. This will be directed centrally.