<qa>  What is the consent form suggested by the Medical Reseach Council?CONSENT The consent form is that suggested by the Medical Reseach Council MRC Health Research Authority and the Participant Information Sheet follows their guidelines. Both will be distributed in appointment letters sent to patients. Informed consent to participate will be confirmed during the original clinic appointment. Members of the hand team consent patients for operations almost daily, and should be fully familiar with assessment of capacity and understanding the ethical principles underpinning informed consent. Consent will be obtained by the Chief Investigator CI. The study will not include the assessment of children or vulnerable adults 