NHS trusts named and shamed for jargon Also on the winners' list were an impenetrable NHS Norfolk and Waveney letter explaining new fee structures, and a description by Cheshire, Warrington and Wirrall NHS Trust of a new service helping doctors decide how to best to spend local NHS budgets. "Building in equality and risk impact assessments the options are taken through a process to arrive at the content for an output based specification and benefits foreseen as a result of the implementation," the trust explained. Mitt Romney, the defeated Republican Presidential candidate, was named as the winner of the "Foot in Mouth" award for spoken gibberish after regularly tying himself in knots during the US election campaign. In one particularly confusing episode, he told voters: "I believe in an America where millions of Americans believe in an America that's the America millions of Americans believe in. That's the America I love. Other organisations selected for the "Golden Bulls" included Enfield Council, Transport for London and the Department for Communities and Local Government. Transport for London was also named for its catastrophic attempt to explain the relatively simple concept of "Billing Days" and "Billing Periods" in road use bills. "Billing Day means a day falling no earlier than 5 Working Days after the last day of that Billing Period or such other day as Transport for London may in the particular circumstances of the case determine on which Transport for London shall take the automatic payment under paragraph (8) of the scheme order," it began. Billing Period in relation to CC Auto Pay means a period of 1 month or such other period as Transport for London may determine and specify on its Congestion Charging website in each case beginning with the day on which Transport for London accepts an application for the Registration of a CC Auto Pay Account or such other day as Transport for London may in the particular circumstances of the case accept.