Dr. Stephanie O'Keeffe:

As I said, one would have to look at the individual letters. The programme has told me that these templates would have been amended for the specific purposes of each individual piece of correspondence going to consulting clinicians. The reason the letter says "if open disclosure is indicated in the case" is that for some people, there is no discordance between the two reviews. However, for other people, open disclosure is indicated in the case. While I accept that it is not mandatory or total open disclosure and that clinical judgment is allowed for within the documentation and advice to doctors, one can also see that the programme is suggesting to the doctors how best to communicate the information and how important it is to do so.