Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)

I will come in on that. What we have been doing - we started this in September - is bringing all the hospitals together to show what each is doing. I will meet them all again in January to see where their progress is and again in April. Some of the excellent examples of good work need to be rolled out to all. Let me give the Deputy an example in relation to Mullingar. Of Mullingar's consultants, 50% are on the POCC and working extended hours. That is a really good metric, in contrast to Kerry, which we were just discussing, where 88% of the consultants are on the POCC but only 9% are currently rostered the extended hours we are talking about. We have to just achieve the consistency across all the different hospitals. A big enabler of that is the productivity dashboard, but then it is about us bringing them together and asking each what it is doing. There is a real granular piece of work in relation to this, but I am bringing the regions in individually in January to see what is happening and what has improved because there are very different performances between the regions. On the east coast, it is much better. The west and the south west are not performing well as regions. The mid-west has a bed capacity issue but is performing well on the other metrics. It is about the granular holding to account, visibility to one another and making sure that the supports are enabled where they are needed.

I am conscious that we have only three minutes. In gynaecology, the list has gone up but the times have come down considerably, albeit not from a great starting point. That is largely due to the ambulatory see-and-treat gynaecology clinics, which are working well. They are part of a huge focus that is absolutely necessary and that the Deputy has correctly identified repeatedly as necessary, not just in gynaecology, including endometriosis, but in women's health generally. There are important updates that we can also discuss on that in relation to endometriosis and some of the steps we have taken since a very good focus in the Dáil on it. For example, we have 100 additional surgeries being planned for this quarter. The framework is ready for publication. I am conscious the budget is next week and I do not want it to get lost in that, but the framework is updated following an important patient voice symposium where I had the Chief Medical Officer, the chief nursing officer and the CEO of the HSE all so as to listen better to women to make sure that that framework was updated as a consequence.

Mr. Gloster might come in on the gynaecology waiting lists.