A first visit to a country is often the time when we ‘see’ the most, and our recent brief visit to Nepal certainly afforded some lasting impressions. High Himalayan ranges glistening in the sun contrasting with the air pollution and traffic congestion of Kathmandu; immense cultural, religious and architectural wealth side by side with acute poverty; roads without streetlights or traffic lights, and shops in the city centre lit by candles, (power cuts were increased from 12 to 14 hours per day during our visit).