Dr. Pat Nash:

To respond to Deputy Naughton's questions, Galway is under major pressure. Part of that is due to the fact that the group was created without any planning of the alignment of the hospitals. It is the only model 4 hospital in a very large group. We have four model 3 hospitals and we are seeing the impact of the group on Galway with a marked increase in the referral for appropriate tertiary services while there has not been clear planning for the capacity or to manage secondary care issues for the counties of Galway and Roscommon, which were our immediate catchment area.