Dr. Colm Henry:

I am. The discussion depends on each case and would take place at a hospital level between the clinical director and the clinician concerned. That level is where it should happen and the referral would be from the hospital or a community healthcare organisation to this service which in my view, and that of many people, would be much more fruitful and productive than a more stark direct referral to the Medical Council which will make a judgment based on fitness to practise.