With Dr. Brooke was his registrar and his secretary. First he had a short talk with the relatives; then he investigated the patient. Then the relatives, the secretary and Dr. Brooke (or the registrar) went over the whole matter and gave advice and decisions, and the secretary made the necessary notes for the case-record. It was all simple, easy, free of fuss. The procedure had a wonderful effect on waiting-lists, and Dr. Brooke was, through his secretary, in constant friendly touch with doctors.3