Sir, - People attending outpatient clinics often lament the fact that junior hospital doctors change over every six months. In an exclusively shift-based system, doctors may change over every six hours. The possibility of a consistent, personal relationship with your hospital doctor, even for five consecutive inpatient days, will be remote.

Continuity of care will decline. Doctor training will suffer. Is this in anyone's interest? - Yours, etc.,

Dr BRENDAN KELLY, Broadstone, Dublin 7