This unusual witty satirical pseudonymous controversial and very pointed work gathers together the 50 episodes which were originally published on the famous and widelyread nhsManagers.net eletter run by Roy Lilley which has some 30000 subscribers here and abroad. Both the author and Mr. Lilley who are not one and the same have been Chairs of NHS Trusts and advisers to government. Mr. Romford dramatizes the current issues and problems of British healthcare and points out some radical and innovative solutions. The author holds up a mirror to the NHS and public service its foibles and peculiarities. He shines a light into the dark recesses and makes us think entertains us pokes fun and encourages us to do better. His characters are a delight and his stories grasp the issues of the day and sets them out in a new light.