Dr. Amanda Burke:

Our consultation groups in Sharing the Vision would have flagged this. The full remit of the clinical governance model is a big job and it takes away from clinical time. As it stands at this time, it is vested in the consultant. It would require legislative change to do that. However, there is a model described in terms of a shared governance model, which includes a team co-ordinator, who can be any clinical member of the team. It is an important job that looks at triaging the referrals - we talked about clinical need earlier on - looks at caseloads across the team, basically shares out the workload and co-ordinates the whole team functions. That shared governance piece, with the consultant model, is what Sharing the Vision is proposing now. It is working well in many teams.