Dr. Tony O'Connell:

It is clearly both. The individual surgeons would articulate the quality and safety perspectives louder, but the whole environment is clearly at issue. They need to feel comfortable about the nurses who would be discharging the patient from the ward and about the referral pathways back to the hospital, as I said. The whole environment in which surgeons are working needs to be conducive to this significant change in behaviour for what is ultimately 90% of tonsillectomies.