Gavin Francis

‘The patient stated that he had known he was a cat since this secret was imparted to him by the family cat, who subsequently taught him “cat language”,’ the psychiatrists wrote. He held down a normal job, all the while ‘he lived with cats, had sexual activity with them, hunted with them, and frequented cat night spots in preference to their human equivalent.’ The psychiatrists had little hope for improvement – his belief had persisted despite various trials of antidepressants, anticonvulsants, antipsychotics and six years of psychotherapy. ‘His greatest – but unrequited – love was for a tigress in the local zoo,’ they concluded. ‘He hoped one day to release her.’

An​ apnoea is a cessation of breathing. When sufferers of sleep apnoea enter deep sleep, their airway becomes blocked by the tissues around their throat. They may gasp for air, and stir hundreds of times a night to a level just below conscious awareness. People with sleep apnoea wake up in the morning feeling as if they’ve slept normally, but are chronically tired because their sleep...

Management consultant initiatives and stealth privatisations have for years set about the NHS like termites, nibbling away at the beams and struts of a once magnificent structure. But the whole edifice is now on the brink of collapse. If the principles of the NHS are to be defended, we will have to find more money.