We envisage that currently the public and the patient population in general have increasing  knowledge and use of internet and e-mail, and hence we are gratified to see a good proportion of all our patients utilising this innovative service.  We believe that with increasing public and patient communities involvement in health matters this method of contact between patients and doctors will become the norm in the not too distant future.  We believe that, similarly, mobile telephone technology will take on as three-quarters of the population now own mobile telephones. We already have good experience of the benefits of text-messaging facilities for patients.