A central objective of the consultant contract is to improve access for public patients to public hospital services. The contract sets out clear rules on the mix of public-private practice that may be undertaken by consultants and measures to manage these rules by appointed clinical directors.
These include a total prohibition on consultants undertaking private practice (Type A contract holders) and a cap of 20% of private activity for newly appointed consultants (Type B) and a cap of up to 30% in the case of certain existing consultants.
The HSE has put a monitoring system in place to report on public/private activity as provided for in the contract and to inform any necessary follow-up actions in individual cases. Therefore I have referred the question to the Executive, who will respond directly to the Deputy in this regard.