Mr. Stephen Mulvany:

The core issue here, as the chief clinical officer said, is that balance between maintaining a service at all and trying to maintain a safe service. In terms of some of the controls and some of what we have done to address those control issues, it is not our job to try to second guess our local service managers who are trying to make those judgments. What we have done is put in place a series of local registers of the individual situations that are causing excessive payments and excessive hours. Some of the excessive payments are because of compensatory rest days, for example. Some of them are related to retirement-related payments. In the main, however, it is about overall hours. We have put in place a series of registers of those and, obviously, for our hospital groups. Centrally, the issue now is monitoring those registers and trying to remove as much as possible the conditions that lead to those choices having to be made so people are on more sustainable rosters.