Ms Susan Clyne:

We did a survey last year specifically on staff burnout. Seven out of ten doctors across the board are at high risk of burnout or are suffering from it. They carry that with them into their daily lives. There are many reasons for that.

I can see where the Deputy is coming from on the pilot projects. We have a lot of evidence on what works. We have some concerns about the systems in place now. That is why our submission calls for a review to see if it is actually the best way to have consultants operating in isolation in some areas with insufficient teams in place. That is not to say that the patient would not continue to receive care in the community, but that does not mean the whole team needs to be based full time in the community. Consultants rely very much on talking to colleagues. Not all of discussion on patients and moving treatment on is formal. I would be against a pilot project because we already know what is needed.

No more than the IHCA, I am sure all the members are tired of organisations such as ourselves saying the funding is not there. I hear people say all the time that resourcing is not the issue, but resourcing is the issue if the resources you are applying are not sufficient to attract people in to work in the service.