The medical consultant and patient have instructed Belfast solicitors Madden & Finucane to issue proceedings against the health organisation.Their representatives said the action related to their experiences in the department.In a statement, Patrick Madden called for a public inquiry, given the extent of what he called the "failures" within the A&E department.He said: "Madden and Finucane have been instructed to commence legal proceedings on behalf of a senior medical consultant and a patient at the accident and emergency department of the Royal Victoria Hospital, Belfast."This action relates to negligence at the hospital and a systemic failure which has led to patients suffering avoidable harm and deprivation of their basic human rights."Evidence of appalling standards of care and neglect of patients has been disclosed to Madden and Finucane."This evidence will show that the environment in the Royal Victoria Hospital is toxic for staff and patients."The hospital has failed in its basic duty of care."He added: "Given the extent of the failures within this department, we consider that a full public inquiry is of urgent public importance."Reacting the Belfast Trust said: "We await correspondence from Madden and Finucane and will deal with any legal proceedings appropriately."At this time we are not in a position to comment further."The Trust is currently participating in an RQAI (Regulation and Quality Improvement Authority) review of emergency and unscheduled care."The Department of Health said it would not be commenting on the matter.