He says that means telling some patients to put butter on their vegetables, full cream on their pudding, sugar in their tea - a difficult message amid today's concerns over obesity.

BBC: NEWS | Health | 'I tried not to think about food'

Written on the paper, Mr Latham said, was "4.55-5pm got in bath" and "5.40-45 dog in", as well as "6.25 come down to put tea on".

BBC: Prosecution rounds on Carr

That effort will lead to a number of Tea Party-backed primary challenges in 2014, which could oust some pledge-breaking incumbents and put a safe seat into play.

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