Mr. Maurice Neligan:

In respect to openness, I would certainly like to compliment Mr. Kayll and the MPS on the classes and the education they give to consultants on an ongoing basis. The confidentiality issue is being overplayed. Everyday patients present who are unhappy or have a genuine grievance in terms of a poor outcome. We never hear about most of those patients because the understanding between the patient and the consultant is such that an explanation is all that is required and people move on in a spirit of trust. It is rare for that to break down to an extent where it becomes litigious or something that will go to court, when obviously the dynamic changes. The majority of these are dealt with and one never hears about them.