The role of the consultant as a private and public practitioner in the hospital service is a web that nobody understands and significant reform is needed in this area. Professor Brennan said she was absolutely shocked by the common contract with consultants. An increased number of consultants is needed. Current estimates put the requirement at more than 1,000 posts. However, this will provide an opportunity to employ consultants on a proper and equitable basis. The role and influence of consultants is significant and it does not do much good to demonise such an important sector.