Talks continued today at the Labour Relations Commission between the Health Service Executive and hospital consultants.
The Minister for Health James Reilly has urged both sides to reach agreement by tomorrow night, or the matter will be directed to the Labour Court.
Health managers are seeking agreement from consultants on new rosters, lower entry pay and cuts to allowances.
Going into talks this morning, Martin Varley of the Irish Hospital Consultants Association said consultants have been working with the State and the department to increase care for patients.
He said that has given rise to a very substantial increase in productivity.
Mr Varley said that in the past two years there has been a 20% increase in productivity and that the discussions, as far as the IHCA sees it, are about how they can build on that.
He would not comment on whether or not consultants were prepared to work new rosters.