The first save room reminds me of a particular scene ( the "I don't really come from outer space..." scene) fom the movie 12 Monkeys (if you haven't seen it, do so, Terry Gillian is a genius and Brad Pitt and Bruce Willis give some of their best performances ever), which is to say, if you couldn't judge from the context, I loved it!
Level design is certainly improved, there are a lot of subtle touches in this game, much like the first, like the ceiling falling-in in this one particular room and the "chain rooms" (avoiding spoilers) are so freaking awesome.
I feel sorry for you guys in the UK, having to see us discuss the game in its greatness and not be able to play it. But, at least you will be assured that the game is everything we've all hoped and been told it would be.
Also, Jools, in one of the side rooms of the first save room, there is an xray of a foot on the wall, would this have anything to do with your foot injury?