Professor Joyce O'Connor:

Absolutely. I do not know why that is happening but I accept it. However, it is not what should be happening and it is not the right way. If we had a liaison officer in the CHO area the GP would liaise with him or her and they could refer the patient on. That is where the approved clinician comes in, with clinical psychotherapists able to deal with people at an appropriate level and the right time and place to work effectively with the person who needs the help rather than channelling up through a system in a way that was not envisaged and should not happen.