Dr. Brendan Doody:

Clearly, the teams require a clinical lead. Abroad, there is always a clinical lead on the team. The way the consultant contract is configured is that this role is defined as being that of the consultant. It is also stated in A Vision for Change that the clinical leadership of the team is provided by the consultant psychiatrist. That is the model.

The model envisioned and reflected in the consultant contract calls for the consultant to be the lead clinical role.