Mr. Chris Nightingale:

On fees for primary care, we did not explicitly look at the potential change associated with paying or not paying for primary care. We assumed additional pressure on primary care services of 1% above and beyond the demographic pressures as a result of changes to the model of care or in the use of primary care services.

We have seen in other health systems increasing pressure out of hospital. Either systems move from hospital or there is an increase in the use of primary care. In the report itself we did not consider the potential changes in funding.