Patients not paper?

Dear Mr Dobson,

Thanks for your letter, postmarked 1 April, asking me for my good ideas for improving the NHS. I gather you sent a copy to every member of staff to mark the 50th anniversary of this great institution. Considering that the NHS is the biggest employer in the world apart from the Russian army and Indian railways, you must have licked a lot of stamps.

As you indicated in your letter, this exercise is highly likely to generate thousands of sensible and practicable ideas, which nobody in any strategic position has previously thought of. I was impressed with your promise to keep your civil servants …