Dr. Colm Henry:

There is a clear differential between what we call model 3 hospitals, which were previously county hospitals, and model 4 hospitals, which are the big hospitals. We know from surveys of those in training at the moment – we are expanding the number of trainees – that their general preference is to work in larger centres dealing with, for example, cancer, surgery, cardiology and other specialties. We have to design our training programmes to ensure we incentivise and condition trainees to do the generalist-type of work that we need to provide in model 3 hospitals. That is part of what we are doing in expanding the scope of trainee posts.