Chris Fleming
@e17chrisfleming.bsky.social
š¤ 1577
š„ 356
š 89
Partner and healthcare lead
@publicdigital.bsky.social
Walthamstow via Durham.
So good from Giles š¤š
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5 months ago
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Giles Turnbull
5 months ago
had some stuff to get off my chest about strategies ~
gilest.org/notes/strate...
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gilest.org: The strategy is enquiry
https://gilest.org/notes/strategy-enquiry.html
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Marcus Baw
5 months ago
A new episode of Everything Digital Health just dropped: Getting Started with openEHR - with Ian McNicoll
https://www.youtube.com/watch?v=NgWhyss_Ako
A solid starting point for anyone whoās interested in getting started with openEHR - quite a long...
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Getting Started with openEHR - with Ian McNicoll
A solid starting point for anyone whoās interested in getting started with openEHR - quite a long...
https://www.youtube.com/watch?v=NgWhyss_Ako
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James Plunkett
7 months ago
Honestly, this Test & Learn event is joyful. There are so many examples of the real-life transformation of public institutions - quicker, more responsive, more human, more purpose-driven and fun to work in. e.g. these slides are from a brilliant example from Nottingham 1/n
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Ben Holliday
7 months ago
With thanks to
@da.vebrig.gs
for sharing this new post⦠⨠I spend lots of time talking about making things more 'service-oriented' ⦠this post updates some of that thinking. incl. what I wrote in Multiplied, based on work, opportunities and ideas I'm seeing in places like Health/NHS
#servicedesign
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Dai Vaughan
7 months ago
For the morning crowd⦠If youāre a senior dev, engineering mgr, senior devops, tech team lead, tech arch, tech community of practice lead or other technologist and fancy a change in career, come join my team to help orgs around the world adapt to the digital age.
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Sunder Katwala (sundersays)
7 months ago
Hugh Muir recalls the response of London Mayor Ken Livingstone to 7/7 from Singapore. I agree that, despite his flaws & failings at other times, that this was an important message
www.theguardian.com/commentisfre...
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Adam Terry
7 months ago
Last week saw another govt '10 year plan': after infrastructure and industrial policy, this was for the NHS. Writing a guest blog for
@futuregovforum.bsky.social
,
@e17chrisfleming.bsky.social
offers 5 tips for making the digital transformation elements work:
substack.com/home/post/p-...
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Five ways the government can make its 10-year NHS digitisation plan work
By Chris Fleming, Public Digitalās Health and Care lead.
https://substack.com/home/post/p-167429904
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The Future Governance Forum (FGF)
8 months ago
Read this brilliant article by
@e17chrisfleming.bsky.social
, Public Digitalās Health and Care lead, which sets out five ways the government can make its 10 Year NHS digitisation plan work ā¬ļøā¬ļøā¬ļø
#10YearHealthPlan
#NHS
futuregovforum.substack.com/p/five-ways-...
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Five ways the government can make its 10-year NHS digitisation plan work
By Chris Fleming, Public Digitalās Health and Care lead.
https://futuregovforum.substack.com/p/five-ways-the-government-can-make
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NHS Providers
8 months ago
Lessons from the pandemic: leading in times of uncertainty. šļø In our latest
#podcast
episode, Audree Fletcher joins
@e17chrisfleming.bsky.social
to discuss how leaders can deliver in uncertain and changing environments. āÆļø
bit.ly/45H8jJz
@nhsconfed.org
@publicdigital.bsky.social
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The Provider Podcast - How leaders can navigate change whilst driving forward the digital agenda
In episode three of The Digital Shift, you'll hear from Audree Fletcher former service director at NHS Test and Trace where she led the development and roll out of the service.
https://bit.ly/45H8jJz
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Public Digital
8 months ago
Just dropped Ep 2 of The Digital Shift.
@e17chrisfleming.bsky.social
chats with Cate McLaurin on why cyber-attacks are inevitable, how to mitigate risk and real-world lessons from Hackneyās ransomware incident. Listen š
#CyberResilience
#HealthTech
@nhsproviders.bsky.social
@nhsconfed.org
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The Provider Podcast - How to prepare for a cyber attack
In episode two of our podcast mini-series, youāll hear from Cate McLaurin who led the response when the London Borough of Hackney experienced a major ransomware attack in 2020.
https://nhsproviders.org/resources/the-provider-podcast-how-to-prepare-for-a-cyber-attack?utm_source=Partners&utm_medium=Other+partners&utm_campaign=The+Digital+Shift+-+Episode+two
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NHS Providers
8 months ago
Are you prepared for a
#cyberattack
? šļøTune in to hear
@e17chrisfleming.bsky.social
⬠interview
@madebycatem.bsky.social
about: š¢ Her experience leading the response to a high-profile attack š¢ How to build your
#cyberresilience
. āÆļø
bit.ly/446G4RZ
@nhsconfed.org
@publicdigital.bsky.social
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Frankie Roberto
8 months ago
Weeknotes:
frankieroberto.github.io/nhsnotes/pos...
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Week 53: All that matters
Giving up WFH. Chris Hoy. Leading smart people.
https://frankieroberto.github.io/nhsnotes/posts/week-53-all-that-matters/
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Marisa Kabas
8 months ago
Another video of Senator Padillaās violent arrest at DHS Sec Noemās press conference in LA. You can see him thrown to the ground by FBI agents and handcuffed. (video shared by Padillaās staff with Elex Michaelson of Fox LA and posted on X)
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Eliot Higgins
8 months ago
In case you're wondering, authoritarians use this strategy of escalation to manufacture crisis, provoke outrage, then use the reaction to justify repression. Itās not about restoring order, it's about creating a spectacle of chaos they can claim only they can control.
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Dan Douglas
9 months ago
i mean sure but what am i meant to do with this information, āoh shit better cut down on my microplastic intakeā
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Eliot Higgins
9 months ago
In this era, I think it's more useful to sort people by whether they participate in democratic discourse or disordered discourse, rather than left vs right.
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Tremendous write-up of a great event. Thanks for sharing James.
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9 months ago
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Eliot Higgins
9 months ago
764,000 fools easily parted from their money - 58 crypto wallets have made millions on Trumpās meme coin. 764,000 have lost money, data shows
www.cnbc.com/2025/05/06/t...
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58 crypto wallets have made millions on Trump's meme coin. 764,000 have lost money, data shows
Interest in the $TRUMP meme coin spiked more than 50% after the project's website promised the top 220 holders a seat at a dinner with the president.
https://www.cnbc.com/2025/05/06/trump-meme-coin-crypto.html
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Rory Cellan-Jones
10 months ago
Hospital medics - Iām researching a story about Epic, the supplier of electronic patient record systems. Any views? Let me know on or off the record.
#journorequest
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Public Digital
10 months ago
Our MD
@egawen.bsky.social
talks to Think Digital about her career so far and the various challenges women face in the workplace.
#dpi
#transformation
#ukgov
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Women in Digital:Ā Emma Gawen | THINK Digital Partners : THINK Digital Partners
A leader in global digital strategy and transformation work,Ā PublicĀ DigitalĀ managing director and partner Emma Gawen, shares her experiences of being a woman in tech, and what she sees as the biggest ...
https://www.thinkdigitalpartners.com/news/2025/05/06/women-in-digital-emma-gawen/?utm_campaign=shareaholic&utm_medium=linkedin&utm_source=socialnetwork
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Tom Loosemore
10 months ago
Much hard-earned wisdom from
@publicdigital.bsky.social
network member
@jamiearnold.com
on how to craft a really good outcome.
www.jamiearnold.com/blog/2025/5/...
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What makes a good outcome? ā Jamie Arnold
A well-crafted outcome doesnāt just define success; it creates the conditions for it.Ā This post describes outcomes thatĀ drive clarity, alignment, and energy across your organisation.
https://www.jamiearnold.com/blog/2025/5/1/what-makes-a-good-outcome
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Emily Webber
10 months ago
New blog post: The 4Ds Roles and Responsibilities Workshop
emilywebber.co.uk/the-4ds-role...
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The 4Ds Roles and Responsibilities Workshop
People often struggle to describe who does what. Getting it wrong can mean that things fall through the cracks, or it becomes so descriptive that it hinders work. Articulating roles and responsibil...
https://emilywebber.co.uk/the-4ds-roles-and-responsibilities-workshop/
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Waldo Jaquith
10 months ago
Big Software Procurement Lifecycles 1: Award a $500 million contract to do the thing 2: Declare that there will now be a Phase 1, Phase 2, and Phase 3 3: Declare that there will now also be Phase 1a, Phase 1b, and Phase 1c 4: Declare that the project is scoped down to Phase 1a Success!
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This guidance is a classic of the nhse genre and the usual missed opportunity.
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10 months ago
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Iain Broome
10 months ago
I have officially opened an Etsy store... ...for my excellent wife's circus typography digital art prints. They make great letter art birthday gifts for kids. Good wall decor. Many children's bedrooms. Anyway, also a chance to test out my SEO skills.
www.etsy.com/shop/circusl...
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James Higgott
10 months ago
New NHS App roadmap just dropped.
digital.nhs.uk/services/nhs...
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NHS App roadmap - NHS England Digital
We are always working to improve the NHS App. Read about whatās been recently delivered, what weāre currently working on and whatās coming up next.
https://digital.nhs.uk/services/nhs-app/roadmap
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Sharepoint users
www.theguardian.com/uk-news/2025...
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UK creating āmurder predictionā tool to identify people most likely to kill
Algorithms allegedly being used to study data of thousands of people, in project critics say is āchilling and dystopianā
https://www.theguardian.com/uk-news/2025/apr/08/uk-creating-prediction-tool-to-identify-people-most-likely-to-kill?CMP=Share_iOSApp_Other
10 months ago
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āāinnovationā evokes a search for novel solutions (robots, lasers, AI), when what we really need is mostly just hard work focused on a stable set of targets and applied for a long enough period of time.ā šÆšÆšÆ
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11 months ago
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YRoy
11 months ago
Always enjoy your substacks. Thanks. On this, I think Murphy's where I am at
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Kara Jane Adams
11 months ago
The question of if a country could fuck itself harder than the UK did with Brexit has today been answered.
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Kenny Peng
11 months ago
Our lab had a
#dogathon
š yesterday where we analyzed NYC Open Data on dog licenses. We learned a lot of dog facts, which Iāll share in this thread š§µ 1) Geospatial trends: Cavalier King Charles Spaniels are common in Manhattan; the opposite is true for Yorkshire Terriers.
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Brilliant from
@mattedgar.bsky.social
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11 months ago
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Clive Thompson
11 months ago
So, the DOGE kids intend to rewrite the social-security administration's COBOL code-base! and they want to do it ... ... in *a few months* I did a huge dive into COBOL a few years ago (
www.wealthsimple.com/en-ca/magazi...
) ... ... so let me explain why DOGE is *way* over its skis here 1/9
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browse by category
https://www.wealthsimple.com/en-ca/magazine/cobol-controls-your-money
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Katie Martin
11 months ago
Obvs.
www.thetimes.com/best-places-...
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Walthamstow named best place to live in London 2025
Youāll want to stay another day. And another. And another in one of the capitalās buzziest āburbs
https://www.thetimes.com/best-places-to-live/london-uk/article/walthamstow-e17-area-guide-skkp8fp0l
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Rachel Coldicutt
11 months ago
Notwithstanding what I think may be a couple of transcription errors, this speech by Darren Jones on use of technology in Treasury is a very good speech. He sounds like he knows what he's talking about and that he understands why he's saying what he's saying
www.gov.uk/government/s...
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Darren Jones speech to Institute for Government
In a speech at the Institute for Government today, Darren Jones laid out his plans to transform and upgrade the governmentās central finance system.
https://www.gov.uk/government/speeches/darren-jones-speech-to-institute-for-government
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Good strategy is making hard choices and NOT doing things, rather than taking the average of all the words and opinions
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11 months ago
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Armando Iannucci
11 months ago
āThere is this terrible misconception that disabled people just take, but actually by taking from us, you prevent us from being able to give ā we want to be able to participate in life equally the same as anyone else, and that includes going to work.ā Disability campaigner Tanni Gray-Thompson
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Posted some reckons on the NHS England restructuring announcements this week
www.linkedin.com/posts/chris-...
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Chris Fleming on LinkedIn: Navigating new changes at NHS England
I've posted some thoughts on the extraordinary level of change announced at NHS England yesterday. Thoughts with all those affected and worried. But importantā¦
https://www.linkedin.com/posts/chris-fleming-pd_ive-posted-some-thoughts-on-the-extraordinary-activity-7305263608911843328-bNtp?utm_source=share&utm_medium=member_ios&rcm=ACoAAAcP2CUBztZu5DT5VchmAi9XZ5jpgjX4ACs
11 months ago
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Reece Dinsdale
11 months ago
This is just fantastic. Go Sunderland!!!
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Rachel Coldicutt
12 months ago
Lots of very good introductory materials in this thread šš
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Andrew Greenway
12 months ago
James is always worth reading, and this longread is particularly worth the time, especially if you're an optimist about governments taking state capacity seriously.
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Stella Creasy MP
12 months ago
Walthamstow a woman has been hit by a bus on hoe street outside the Rose and Crown. Sheās thankfully ok but traffic backed up due to the scene so please help the police and fire services by avoiding area. Please share to spread word.
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Public Digital
12 months ago
Governments must design digital services that work for everyone, not just the digitally connected. š Public Digitalās Head of Africa,
@abisola.bsky.social
explored the importance of inclusive digital transformation on our blog. This week, ICT Works featured it on their site. Read it here: š
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3 Examples: Inclusive Digital Transformation Government Services - ICTworks
digital transformation efforts address inclusive, user-centred digital government services that meet citizens where they are in 3 countries
https://www.ictworks.org/inclusive-digital-transformation-government-services/
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Emma Wilkinson
12 months ago
Saw some posts that NIH and pubmed websites both down⦠and yep so thatās not at all ominous
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Waldo Jaquith
12 months ago
For any devs wondering what 18F does (did), hereās its GitHub org page, with 1,210 repos. A few were mine! All the work they did for all their agency partners was open source. Public money should produce public software, for public inspection. Those days are over, starting today.
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18F
18F builds effective, user-centric digital services focused on the interaction between government & the people it serves. Provided by GSA. - 18F
https://github.com/18F
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Waldo Jaquith
12 months ago
18F, the federal governmentās technology shop, was just demolished by Muskās team. It was a cost-recoverable org, charging agencies for their expertise, using a consulting model. Its cost to government was negligible, its benefits huge. My team there once saved DoD $500 million. A thread about 18F:
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James Higgott
12 months ago
The DHSC press release is also better coverage:
www.gov.uk/government/n...
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New deal for GPs will fix the front door of the NHS
GP contract reforms will fix the front door of the NHS and see the return of the family doctor, while helping end the 8am scramble for appointments
https://www.gov.uk/government/news/new-deal-for-gps-will-fix-the-front-door-of-the-nhs
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Public Digital
12 months ago
Thousands of UK customers are facing online banking issues today. Lloyds, Halifax and Bank of Scotland were down for a part of the day, preventing usual customer access. These outages show how disruptive accidental tech failures can be, as
@daverog.bsky.social
explored recently.
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Accidental technology failure - Public Digitalpublic digitalpublic digital
Accidental technology failure shows us that the technology that runs our global digital ecosystem is also fragile
https://public.digital/pd-insights/blog/2024/07/oops-why-accidental-technology-failure-is-a-greater-threat-than-cyber-security
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