The week before last the Royal College of Physicians started a consultation on the future of hospitals with the above title. The most significant thing about the document is the front page which has a cartoon of a hospital falling off a cliff and crumbling as it does so.
It’s a disturbing image with doctors in scrubs hanging onto window ledges as the building falls – but even more frightening are the beds, with their patients spilling out of a broken side, and falling down the cliff.