I propose to take Questions Nos. 39, 54 and 97 together.
I do not believe that the co-location of private hospitals on public hospital sites will have adverse consequences for public or private patients, whether for reasons cited by the Deputies or otherwise. It is a core requirement of the ongoing public procurement exercise that the private bidders can demonstrate to the Health Service Executive that the co-located hospital will have the staff and facilities to treat private patients that are currently receiving treatment in the public hospital. Medical and surgical services at the co-located hospital will have to be provided by appropriately qualified staff.
The co-located hospitals will be required to have a clinical governance strategy including clinical audit and to develop proposals to provide access to training within the private facility. It is a critical factor of the co-location initiative and of the new consultants contract that private work will be managed so as not to be to the detriment of public patients and public services.