Productivity and efficiency may be the current buzzwords bandied around by the mandarins at the Department of Health - not forgetting quality, innovation and prevention as well of course - but what does the hard pushed frontline think?

Well, apparently it may be on message. Ipsos MORI chief executive Ben Page surveyed guests at the Royal College of Nursing annual stakeholder dinner, using those natty little voting pads.

Asked whether they thought the NHS could be more efficient, 96 per cent of the mostly nursing audience said yes. Of course it could mean that 4 per cent of the workforce does all the work - but that requires further data analysis.