Quality, according to Mr Jack Lynch (author of a grammar and style guide on the worldwide web) may well be “the most abused and overused word in business English ….The word is a noun, and means a characteristic or a degree of excellence. Do not use quality as an adjective, as in quality product. Use well made, good, useful, or something similar. Never use as an adverb, as in quality-built product. Perhaps best advice is: never use quality.”

All this is well and good for grammarians and writers. But among the healing professions, especially in places where the buffalo roamed freely when Dr Samuel Johnson already conversed so brilliantly with his illustrious friends at the Turk's Head, …