The transition is complete – primary care trusts and strategic health authorities are dead, making way for a clinically led insurgency that will sweep through the NHS like a wildfire of transparency, patient-centredness and integrated working.

So get ready! Or, if you live in Wigan, don’t.

The town’s new commissioning group tweeted this week: “It’s the second day of the new NHS and it’s already business as usual at Wigan Borough CCG. #NHSreform”

Excellent. We’re so glad the last three years of misery and upheaval were worth it.