Some fresh insights into the baffling world of becoming a national clinical director from the public administration committee’s recent report, Goats and Tsars.

Evidence submitted by Sheffield University’s Professor Martin Smith quotes anonymous interviews with three health tsars.

One says of his appointment: “The fact of the matter is that I bumped into Alan Milburn on the train.”

One recounted how he had asked an official whether he was a political appointment - the reply may come in handy in the next few months for any tsars who like their jobs: “He said, ‘No, no, no, you’re not… you’re definitely not.’”