"Mr Jouty says it is important to "strike a balance between patient confidentiality and public safety".

He adds when doctors believe there is a "likely risk to public safety" that "healthcare providers should be protected to avoid being taken to court when such information is passed on.

"We think this is a global issue".

The recommendation will be passed on to the World Health Organisation and to the German Transport Ministry and German Doctors Council .......I agree strongly with the recommendations of the inquiry.