Dr. Brendan O'Shea:

These are important instances and they do occur. They are complex consultations because there are several different elements that need to be considered, reflected on and reconciled along a set of priorities. The priorities should relate to establishing what has happened in a reliable way and, particularly, establishing the insight and concerns of the patient, establishing what her priorities are, considering the relevant legislation and taking the appropriate steps in terms of engaging with whatever additional agencies are required. These are uncommon situations but they are real and they are really important. It is complex consulting. That outlines the approach that a general practitioner would bring into the consultation.