The Hanly report is welcome. We must provide a safe hospital system, harness the skills and expertise of our highly skilled medical and paramedical staff in our hospitals and achieve value for money. Implementing the Hanly report will deliver on these. We are facing some immediate tasks. We must start implementation in the two pilot sites; Hanly mark II which will deal with the other boards must be up and running; the European Working Time Directive in relation to the NCHD hours must be implemented; and we must open negotiations with medical organisations on new contracts. I welcome that the Minister acknowledged this. It will be difficult, but taxpayers and patients cannot be held to ransom. In this regard, new contracts for new consultants must be put in place, regardless of negotiations with existing contract holders.