Katzenbach is close (Anna Donald, Opinion, 8th March), but Onora O' Neill is closer. Her Reith lectures in 2002, 'A Question of Trust', pointed not to a crisis of trust but to a pervading culture of suspicion, directed particularly at the professions.

Katzenbach is close (Anna Donald, Opinion, 8th March), but Onora O' Neill is closer. Her Reith lectures in 2002, 'A Question of Trust', pointed not to a crisis of trust but to a pervading culture of suspicion, directed particularly at the professions.

It is this that so demoralises Doctors. Onora O' Neill should have given her lectures today; perhaps the government would now be heeding her warning that 'the culture of accountability which we are relentlessly building for ourselves actually damages trust rather than supporting it. Plants don't flourish when we pull them up too often to check how their roots are growing.'

Brian Clarke, Hospital Director, St. Anthony's Hospital