I have been told that senior personnel in London Primary Care Trusts have been told to clear their diaries for June and July. My informant guessed that this was when senior Department of Health officials expected the pandemic of swine flu to peak in the Capital. I am not so sure. My own guess is that this is when the Strategic Health Authority is planning to announce a major programme of mergers of health bodies in London. It is not clear that the current number of hospital trusts in London will remain viable as the planned 130 polyclinics start to come onstream across the metropolis. Get the pain out of the way quickly – particularly as large parts of London Health are in budget deficit. I don’t know what it all means or even if my informant’s story is correct. Someone out there must know.