Dr. Tony O'Connell:

Not necessarily. A number of hospitals have an embarrassment in their financial situation. A component of the embarrassment is attributable to the fact that if they continue to do cases appropriately as day cases rather than overnight, they would effectively be penalised in terms of their income. We must overcome the perverse financial incentives to ensure that what is clinically right for the patient is reflected in an appropriate financial reimbursement. Perhaps Professor Keane has something to add to what I said.