Making time stand still

I was being interviewed recently on radio about primary care groups. My voice, like my life, has an irritating nasal twang, but for once I was being impressive and articulate. “You obviously have a very clear understanding of this subject,” said the interviewer admiringly. “Yes,” I said, “and that's because I'm making it up as I go along.”

We seem to have been continuously reorganising over the past 10 years, and at this stage I have given …