I had hoped we had seen the last of the word 'concordat' when it appeared in the NHS plan. Regrettably it raised its unwelcome head again in a recent NHS Confederation press release on dealings between the NHS and the private sector.

Call me old-fashioned, but I have always found it tremendously helpful to use words with which people are familiar when trying to communicate with them.

If it is an agreement, let's call it an agreement. If they are children, then let's call them children and not 'young adults of mixed sex and ethnic origin'.

And if it's a spade, let's stick with spade and not 'hand-held earthinverting instrument'.

Peter Leggatt Communications manager South and West Devon HA