Any industrial action by a health professional group likely to interfere with patient care will potentially compromise the safety and quality of that care. HCC insists it is the duty of health service managers, government and representatives of workers to tell the community honestly the extent of disruptions to patient care and to make recommendations for patients and families to follow to safeguard against possible errors and oversights due to industrial action. HCC rejects the general response of managers to declare there are no risks to patient safety where direct carers are involved in industrial action. HCC would assume the role of independent rapporteur to the community on the implications for patient care during episodes of industrial action.