How we answer patient, carer and public concerns and complaints is very important, and suitable response mechanisms need to be in place. The College continues to receive letters from patients and carers, although far fewer than in the past. These are currently dealt with by the Deputy Registrar Dr Afzal Javed, with a number of standard letters signposting people to further help and information. We also explain that the College cannot help people individually. The more contentious and distressing letters are dealt with by the Registrar Professor Sue Bailey.