Published: 20/03/2003, Volume II3, No. 5847 Page 23

Why do I receive so much NHS material marked 'private and confidential', when by no stretch of the imagination is it true?

It demonstrates that the service's 'commitment to transparency' is at best skin deep.

Otherwise people would feel as defensive about the risk of concealing material that should be open as they clearly feel about the risk of publishing material that is really confidential.

Martyn Smith Chief officer West Birmingham community health council