Mr. Stephen Mulvany:

A huge amount of money is spread over a large number of organisations. Over 93% or 95% of it is provided to a relatively small number of very large organisations. I would guess it is less than 100. There are a number of ways by which we review and engage those organisations. Our internal audit division will go out, put boots on the ground and visit a certain number of section 38 or section 39 organisations in any given year. It may be between 30 and 50. I may have the figure wrong but I can check it. Separately, depending on size, we get a certain amount of information every year, including annual accounts, although we do not get audited accounts from every one of those organisation. It depends on the size and if they are below 50,000. We get their audited accounts, we have a review process and above a certain size we ask them to provide a summary or precis of that financial information so that we can see and track through the HSE's resource going into the organisation. As we said earlier, we have established across each of our nine CHOs what we call conflict management support units to try to help the local services to deal with that volume of interaction with a greater number of those organisations. We are by no means entirely there yet but a significant amount of effort is going into that and managing our contractual relations with those voluntary organisations. Remember, as Mr. McCallion said, we are also working on the bigger relationship.