I have great belief in the necessity and centrality of a consultant-delivered service. We need to realise that the term "junior doctor" is dreadfully simplifying. It applies to those who are essentially in their first year of internship, straight out of medical school, and also applies to those who have the same formal postgraduate medical qualifications as the consultants for whom they work. If the philosophy behind the Hanly report is realised, junior medical positions will be junior because they will be training posts. The natural and logical progression will be that anybody who is successful in the training programme will have a reasonable expectation of becoming a consultant within a contractual arrangement that delivers service in the public hospitals. We need to refine the whole area of hospital medicine in which "junior" really does mean junior as in "under-trained".