Dr. Colm Henry:

The systems and governance arrangements go through to the responsible end individual for any patient's care, namely, the consultant, and it goes through in that way. It is very structured according to the point in time of a person's training profile. As the CEO has alluded to, we have a too high dependency on non-training doctors among the junior doctor task force but, nevertheless, they remain within the same clinical governance structure. By a process of expanding the consultant numbers, and displacing non-training posts with training posts, we are planning to address that. Clearly, that has been the result in recent years but, certainly, in the hospital system, there is a clear escalation process from interns and a clear licence corresponding to each point in time with somebody along their training cycle.