Mr. Jim Breslin:

The third one, which is also very significant, is that if someone is seeing private outpatients off site in a private clinic, one does not have access to that information at all. What one must then do is look at the work plan, which states the hours the consultant will be working in the public hospital dealing with public hospital activity and the hours outside of that when they are entitled to be off-site. Then, one has to monitor the consultant's working arrangements rather than activities.