Ms Anne Coyle:

No, the consultants are not acting autonomously. It is with a focus on outcomes and a focus on managing our waiting lists. There are policies and oversight arrangements in place. They are agreed and scheduled, and we do it as outlined by the NTPF. In terms of the commencement, we agree the terms with which the initiative will be undertaken, the method of delivery, the price and the volume and then, when that activity has been completed, the public hospital invoices the NTPF to secure the funds. However, we are moving into a different era. We are moving to the removal of the insourcing model. Our public hospitals are removing that. That has necessitated us to look differently, to look at ways in which we can improve our productivity, ways in which we can-----