Under arrangements for public hospital services introduced in June 1991, everyone, regardless of income is entitled to public hospital and public consultant services subject only to modest statutory charges, from which medical card holders are exempt. At present these charges are set at £25 per night, subject to a maximum of £250 in any 12 month period, in respect of in-patient public hospital services. Any patient who is formally admitted to a bed which has been designated as a public day bed, is regarded as an in-patient of the hospital and is therefore liable for the £25 in-patient charge, unless otherwise exempt. Non-medical card holders are entitled to public out-patient services free of charge.