A junior manager reckons NHS South Central chief executive Jim Easton is “absolutely identical” to Hollywood actor Vince Vaughn, star of countless New York rom-coms and Dodgeball: a true underdog story.

But Mr Easton’s bizarre ravings about the SHA assurance process suggest he is determined to remove any underdog image and would no doubt view being pelted with painful objects by NHS chief executive David Nicholson as a “fantastic opportunity” and “powerful challenge”.