I loved King's "hooligan trilogy" (The Football Factory, Headhunters, and England Away) as well as his last book (Human Punk), but this is a sub-par effort. After a confusing and overwritten fifteen-page prologue, the book begins in earnest, introducing Ruby, a nurse at a London hospital. She's kind of a millennial salt-of-the-earth type, waking up to pirate radio, young and comfortable with herself and her body, and always up for a night out clubbing with pals, and a few tokes. Chapters about her alternate with chapters about Mr. Jeffrey, who is a operations consultant working at the same hospital. He's a precise single man of precise upper-class tastes-the embodiment of establishment efficiency with a caring face.
For a hundred pages, not a lot happens, as the reader is given a greater sense of the duo's work at the hospital and their worldviews. Then there's a strange chapter in italics whose stream of consciousness appears to tell the life story of someone who is a patient at the hospital. Three more of these appear roughly every fifty pages, and each brings to life a regular person who's had ups and downs before arriving in the hospital. Meanwhile, as the chapters roll on, it becomes clearer and clearer that Ruby and Mr. Jeffrey have strongly divergent perspectives on life. Ruby is a good person, always finding the good in people, striving to maintain a smile on her face in spite of life's injustices and ugliness. Mr. Jeffery, on the other hand, gets gradually more and more sinister. His thoughts about society and observations of people get more and more cynical and judgmental until they become hateful. Through this semi-straw man, King none too subtlety attacks the worship of money and efficiency, as well as the role of the government in shaping modern society.
For about three-quarters of the book, not much happens beyond the above, making for a rather tedious read. A somewhat predictable but sweet love interest arrives on the scene for Ruby, but that's about it. Then suddenly, the plodding buildup reveals a nasty secret at the heart of the story. It's an over-the-top and completely awkward revelation that unfortunately catapults the book into lame thriller territory. And be warned, there is some extremely graphic and unpleasant violence lurking at the end. It's a disappointing, because while King's championing of everyday human decency and goodness is certainly welcome, it's not done with any subtlety whatsoever. There are some great characters, especially Ruby and her coworkers, but it's not a great book.