Dr. Matthew Sadlier:

The short answer is numbers. At the Deputy can see, the number of specialists per head of population is quite small. Invariably, one works in small teams, which means that one is running to catch up on the service demands of the post and the training demands of the post get put into second place. On the NCHD question, the ability to have protected time to engage in training, both as a consultant as a trainer or as an NCHD as a trainee, is a difficulty. As for how that has evolved, as we talked about, there has been chronic underfunding for many years.