Objective 2.5 of the recently released NHS outcomes framework has, as it’s objective, getting people with mental illness into employment. There is no reason why some of these people should not find suitable employment in the NHS itself. Take this unfortunate individual with obsessive compulsive disorder. Had he not died all he would have needed, in addition to his obsession, would be to have fed himself up to a BMI of 42. Then he would have had to cultivate the demeanour of a bad tempered, pre menstrual midwife on anabolic steroids and dexamphetamine. He would then have made the perfect infection control nurse.