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This is a matter for local organisations. They make budgetary decisions based on the needs and priorities of the local populations to deliver effective local services.
Three consultants used to provide 24/7 consultant-led paediatrics at Horton general hospital, but it is estimated that it will take between nine and 13 to deliver the service in future. That has implications not only for the trust's budget, but for the future recruitment of consultants. What plans are the Government making in relation to recruitment as a consequence of the working time directive?
We are in constant discussion with Medical Education England, along with the strategic health authorities, which have strategic responsibility for the planning of their consultants. Money has been made available to assist them in that process.