Mr. Barry O'Brien:

Yes, if it proves to be the most cost-effective option. We are committed to meeting specific requirements under the external service provision option. We have to give a detailed proposal to the unions involved. We are committed to operating within that framework and need to focus on where best to spend the limited resources we have available. Perhaps we might get a highly cost-effective payroll system externally, while redeploying the existing staff to front-line services. I will give an example. The number of management-administration staff is now at its lowest level for some time. It is close to December 2002 levels. One of the scarcest resources in the health system is a grade 3 clerical officer. It would be far better for them to be working on the front line - managing clinics and assisting consultants - than providing payroll services which are fundamental to any organisation. It is an option for consideration as we face our challenges.