Every year, the NHS in England delivers roughly 120 million outpatient appointments. Two thirds of them are follow-ups. And, according to the chair of NHS England, almost nobody in the system believes this is a sensible way to spend clinical time, patient time or public money. Speaking at the King's Fund last week, one year on from the publication of the 10 Year Health Plan, Penny Dash made a remark that will resonate with anyone who has spent time in health policy circles. A