This unusual, witty, satirical, pseudonymous, controversial and very pointed work gathers together the 50 episodes which were originally published on the famous and widely-read nhsManagers.net eletter run by Roy Lilley, which has some 30,000 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.