It's very easy to forget what our core business is. It's not the governance arrangements of CCGs nor is it even my quest for anyone to tell me what ‘clinical senates' might be when they are at home.

Of course not. The core business of all of this debate and discussion is to relieve pain and distress through the application of the basic principles of the NHS within a limited budget. For me the reforms and the politics are an important part of that process, but they are not its purpose.