Dr. Brendan O'Shea:

We concur strongly with all the inputs of our colleagues on the deep-six group. They are absolutely correct in relation to that. One of the mistakes we have made consistently has been to try a one-size-fits-all approach. People and communities are more complex than that. If one has automated, real-time electronic data return, as we had with heart watch, albeit that was switched off and not extended, every one of the patient contacts Dr. Mark Murphy referred to in the opening address will leave a detailed electronic footprint in our record systems. We can generate that data at the point of contact and we can channel that information in. It is not black and white and our professional representative organisations will have a particular point of view on how that is set up with due regard for patient confidentiality, practices and resources. However, we can put that in place. The other more high performing systems I have referred to have it in place. This is supposed to be the smart economy. Bring it into health care, in particular primary care.