Mr. Damien McCallion:

I would not concur in the sense that the contract is very clear. The reporting line is from the consultants to the clinical director. Each clinical director is tasked with looking at what they can maximise from that contract, whether it is additional hours in terms of evenings or whatever it may be across the specialty. That work schedule reflects that. They report back in nationally then, in terms of the progress they are making against it and we measure the outputs in terms of the extra activity that we are getting across the system. There is clear accountability locally to make sure they maximise it. They report that in centrally and then we look at the activity that is happening.