We thank you for your comments. In our randomised trial we assessed the effect of early access to MRI compared with referral to an orthopaedic specialist on GPs' diagnoses and treatment plans for patients with knee problems. Therefore, the paper presents what were the treatment plans that GPs used and not that of the orthopaedic specialist. Similarly, the diagnoses recorded were that of the GPs and we must therefore assume that these diagnoses were as definitive …