Mr. Andrew Munro:

This is the challenge with regulation that we mentioned the last day. We are able to regulate health services here because we have enforcement and inspection. Without mechanisms of enforcement and inspection I do not know how we would be assured of the standards of services abroad or even who would be in a position to do it. Would it be the Medical Council or CORU? It is quite a challenge to regulate standards in other countries. In the European Union it is normally done through equivalence arrangements with somebody at the top and the Commission and the Court of Justice of the European Union. There are also international conventions, such as with adoption. It is quite difficult to see how the State would regulate private entities in another jurisdiction. It would be quite challenging.