‘Indeed so.’

‘I understand also that this kind of mania is generally somewhat intractable. Permanent often, I believe.’

‘Sometimes it is regretfully true, patients seldom respond quickly. If, however, some improvement were noted…?’

‘I think it very unlikely,’ said Oliver. ‘But if the family’s circumstances were to change in any way and we found ourselves willing to give him another chance we would of course be in touch with you in the usual manner. Otherwise

‘Otherwise, sir, you may trust that he will receive the highest quality of care. In the event of demise …

‘He is very dear to me, I trust that you and your staff will ensure that he lives a long and, in so far as he is able, happy life. My father and uncles assure me that you are to be relied upon in this respect.'

‘Naturally we are to be relied upon,’ the doctor assured him. ‘Our diet and exercise regimes here are of the highest standard. You will be pleased also by the seriousness with which we regard issues of hygiene, safety and general health. Besides, we are subject to rigorous inspection from the authorities. There are patients who have lived happily amongst us for more than thirty years. Indeed we have three men who were placed here by your…, grandfather.’

‘You’ll find that the company and conversation of other people excites him,’ said Oliver, rising. ‘They feed his delusions. You may find it best to keep him on his own until he is a great deal calmer. Let the memory of his old life fade away.

‘Of course, of course, you may depend upon it. And when shall we expect the pleasure of receiving him?’

‘My friends will arrive here with him some time later this afternoon. I wish I could stay to see him settled in, but pressure of work I’m afraid…’

‘Really, I quite understand. If there’s nothing more you wish to see, a car will take you to the airport directly.’

Ned awoke from a dream of rivers of gore and spittle pouring from Paddy Leclare’s mouth and knew at once that the movement under him was of a sea in full swell. He tried to open his eyes. For a moment it felt that they had become glued tight by blood and sweat, before he realised that they were indeed wide open. It was simply that there was nothing to see. Either he was in a place where no light shone – not the smallest reflection of anything – or he had become stone blind. Some instinct told him that he was not blind but enclosed in a vacuum of absolute darkness.

While the grinding ache in his shoulder socket hung like a black cloud over his every conscious moment, he found that he could foreground each of his other torments. He could concentrate separately on the hot pain of the torn skin around his wrists for example, on the nauseating throb of his smashed nose or on the stabs of a broken rib that pierced his lungs with each breath or movement. These tortures feasted on him like a swarm of angry wasps, yet behind them all, the shoulder, nagging like an evil memory, rasped and grated against its socket with relentless cruelty. But behind even the sick torment of his ruined shoulder, terrible as it was, other agonies raged that were harder yet to bear, the agonies of bewilderment, loneliness and naked fear.

Ned’s mind was so closed in by terror and confusion that he became less and less able to make sense of any past or present identity. In delirium and over the course of hours that might have been minutes or days, he reached out with his mind to every image that had ever been sacred to him, his father, cricket, a yacht skiffing in the wind, his best woollen blazer, hot porridge lightly salted, the sound of the school bell at evening – the images came randomly – a pair of silver hair-brushes he had found in a jumble sale and polished to perfect brightness, the gear wheels on his first bicycle, the sharp sour stink of National Geographic magazines, cold milk, freshly sharpened pencils, his naked body in the mirror, gingerbread, the clatter of hockey-sticks at bully-off, the smell of a record-duster…, yet each picture that he fixed upon flew from his mental grip, and, like soap from a closing fist, the harder he tried to force them the further they leapt away.

The image above all others that he had saved from bringing into the open could at last be denied no longer, and he conjured up Portia to be with him. But she would not come. Her handwriting, her laugh, the shining warmth of her skin, the grin of animal wickedness in her eyes – they had all gone.

Now only Christ was left. Christ would come to him and lift him from this empty despair. Ned’s torn lips could barely close on the words of his prayers. He asked for pity and hope and love. He asked for a sign that he had been heard. And then, all at once, Jesus rose and floated before him, glowing with light. Ned looked into the gentle, loving eyes of his saviour and leaned up to be taken into his arms and away from this terrible place. With a snarl of fury, Satan sprang forward and opened his huge mouth. He tore the Son of God into bloody pieces and turning towards Ned with a roar of triumph, he closed his black jaws around him.

Ned awoke again in darkness to the sound of the van’s engine and the swift hum of passing traffic. Perhaps he had imagined the sea.

All that he had to connect him to reality now were his pain and the rhythmic flip of tyres on tarmac road. It was as if he had been reborn, reborn into a churning waste of unending isolation and pain. Every instant seemed to contain an eternity of suffering that flung him further away from what he had been and further towards a new existence in which friendship, family, future and love Gould never have a part.

Later he imagined that he had been inside a white room. He recalled a glare of fluorescent light and the rising stench from him as a scalpel cut the string from around his waist and his trousers fell to the floor. He thought he had felt a sharp sting in his arm, a quite new slam of pain and a jarring thump in his shoulder, streams of warm water washing over him and strong arms bearing him away.

He awoke once more to find himself on a bed in a small room whose every surface had been painted cream. The door, walls and ceiling, the tubular steel at the end of the bed, the bars on the single window and the clouds in the sky beyond – all were cream. He couldn’t tell the colour of the floor because the room was small and something was pinning him tight to the bed. When he raised his head, stretching the nape, he could see two thick belts of black webbing strapped across his chest and legs, each fastened by what appeared to be seat-belt buckles. But when he raised his head, the muscles in the back of his neck burned and the broken ribs shifted and clicked inside his chest, so instead he lay back and let the general ache of his body comfort and console him. He was calmer now and almost frivolously cheerful. The black torrent of his nightmares had subsided and the stupidity of his situation was starting to entertain him.

He dozed for a while and awoke with the bedroom still washed by the same creamy daylight. The skin in the arm below his good shoulder itched and a memory surfaced of the first of the straps having at some time been unbuckled, hands forcing him to sit upright and a needle pricking his skin. He believed that he had woozily murmured ‘Good morning’ and ‘Thank you’ before falling asleep again. He stared at the cream ceiling and attempted to assemble his thoughts. Before he could do so he heard the sound of footsteps squeaking on a shiny surface. Ned raised his head an inch from the pillow as they approached. A door close by opened and closed, and Ned sank down again.

Keys rattled in the lock and Ned started awake, annoyed with himself for having slipped off again.

‘Hello there, young sir! Feeling much better now, I am sure.'