The form of Herschelle Gibbs and the ageing Lance Klusener is a worry, while Smith himself has failed to replicate his run-hungry deeds of last year.

BBC: What a difference a year makes.

Some trusts run more than one hospital which replicate the same services, and they argue it makes sense - both clinically and economically, to end this practice.

BBC: What is happening?

They were micro-enterprises run by the most experienced early education experts and impossible to replicate.

WSJ: Review & Outlook: Head Start for All