The Health Service Executive (HSE) has confirmed that there are sufficient intern posts to cater for the July 2012 intake of Irish/EU applicants. My Department and the HSE are considering a range of initiatives to cater for the 2013 intern intake and beyond. In response to concerns about the large numbers of qualified Irish doctors travelling abroad, the career structure for doctors and the recent difficulties in filling non consultant hospital doctor posts in Irish hospitals, I decided to develop a proposal for the creation of a new entry level consultant post. The creation of the new grade of doctor is a key component of the health reform programme. A broad outline of the proposed new grade was provided, in the first instance, to the Forum of Irish Postgraduate Medical Training Bodies for consideration. It is envisaged that wider consultation with key stakeholders would then take place.