Dr. Niall Colwell:

I would also like to echo Dr. Buckley's statement about getting early access to catheterisation. I would like to thank my colleagues in Cork who are very supportive and who work unbelievably hard to provide a service. That said, I had a patient today who had come back from Cork having waited seven days for his non-STEMI angiogram. It is not the case that I have ready access to immediate catheterisation in my facility either. This leads on to the sin of unintended consequences when patients are in bed for seven days waiting for a procedure. My frustrated surgical colleague noted today that he could only get access to one out of five elective surgical cases because four had been cancelled. There is a ripple effect from not getting ready access. That also needs to be looked at and has not been mentioned today.