Health Service Journal has the CQC's letter to Health Secretary Jeremy Hunt naming the four senior CQC staff at the meeting at which the decision to cover up the internal Morecambe Bay report was made.

Humpty Dumpty sat on the wall,
Humpty Dumpty had a great fall.
All the King's horses and all the King's men
Couldn't put Humpty together again.

Oh dear.

There are a finite number of health policy moves, it would seem. Today, the CQC announced a Patient's Charter.

Obviously, it would be unfair to suggest that the Patient's Charter will be strongly in favour of good things and resolutely against bad things.

It really needs a clinician to write this piece about the decision to kick back the IRP on children's heart surgery, and a clinician is one of the many things I am not. There we go.

Closing time is rarely punters' favourite bit of the evening in a pub, though the staff are quite keen on it. Closing time in the NHS manages to unite the punters and the staff against it.

Children’s Heart Surgery
12.35 pm

The Secretary of State for Health (Mr Jeremy Hunt):
With permission, Mr Speaker, I would like to make a statement on the Safe and Sustainable review of children’s congenital heart services.

In the words of Lenny Kravitz, "it ain't over till it's over".

Comrade Sir David's life in exile after abdication (ah, Moe Tucker, from Velvet Underground drummer to Tea Partier - now that's a case of 'how are the mighty fallen') looks tricky.

Notes from a press session with Dr David Bennett, chief executive, Monitor

Q: What is your reaction to the suggestion in Sir David Nicholson’s HSJ interview of potentially bringing together purchasers and providers?

David Bennett: I only know what I read in HSJ of his comments. We already have some providers doing commissioning, where they subontract work to other providers.

Almost every conversation at the NHS Confederation conference in Liverpool opens with the phrase "So who's going to replace David Nicholson, then?"

This is a classic instance of Asking The Wrong Question.

Public policy sees a lot of Asking The Wrong Question, alas.

The Right Question is a very important place to start, though there is no guarantee of it leading neatly to The Right Answer.

Nothing so pleases the God of Health Policy as a sinner come to repentance, but it remains a matter of gobsmacking chutzpah that NHS England CE Comrade Sir David Nicholson uses his first of what might be many 'exit' interviews with Health Service Journal to call for a more decentralised NHS.

Delegates at the NHS Confederation conference might be excused for snorting cornflakes out of their nostrils as they read this over breakfast.