And in the Smiths of Stratford, in Suffolk, of whom we would now discourse, a middle class family of no great opulence, we have signs of the churchly instinct passing down from generation to generation, …

A bird's wail in the night.

O, how shall summer's honey breath hold out Against the wreckful siege of battering days, When rocks impregnable are not so stout, Nor gates of steel so strong, but Time decays?

Currently, patients and staff appear to face twin threats of constraints of time and resources (e.g. difficulties getting appointments and limited consultation time) and increasing technicalization which reduces the capacity or opportunities for face-to-face communication.