We have found that allowing patients to e-mail the Consultant directly, reduces the stress patients face routinely when trying to contact their clinical carers either Consultants or General Practitioners or Specialist Nurses.  There are obvious delays or difficulties on telephone contact and also with the routine channels of  communication such as the post.   Our innovative service development of e-mail facilities for patients, drastically reduces the time interval between patients contacting the services and obtaining responses to any concerns or queries and obtaining further advice regarding continued management. 

