I would love to see a documentary on the re-opening of Britain’s last tin mine.

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Thats what i call dedication to your YouTube channel (on snake handling, obvs) www.bbc.com/news/article...

'We'd like to see action around secondary prevention, the importance of rehabilitation, and to stop revolving door cases of people coming back into hospital.' @robyeldham.bsky.social updates on the forthcoming 10 Year Plan and the move from a sickness to prevention healthcare based system.

If it weren't for Brexit, Rachel Reeves would have another £50 billion in her purse; plenty enough to boost the NHS, welfare, and infrastructure, and allow for some tax cuts. What a happier and more optimistic Britain that would be. That's the price of the delusional idiocy of Brexit. #RejoinEU

Imagine all’s AI…

“We need to get rid of the nice to haves”, says Foluke Ajayi, vice-chair of NHS Confed and trust CEO. I guess that includes anything without a target eh like, er, all community services? Neighbourhood Health Service going to be tough to pull off, eh? podcasts.apple.com/gb/podcast/h...

Cutting 10000 civil service jobs is a lame no-impact move when Cameron announced a 100,000 cut and they could not make the numbers work because they couldn’t afford the ££££ of exits too! I was one of those civil servants so thinking of my former colleagues heading for ugly workplace dynamics

This is what devolving responsibility for the shift from hospitals to community to ICBs looks like when there are no targets or incentives - plans to close walk in centres and out of hours GP hubs. www.bbc.co.uk/news/article...

Anecdote, meet data.

Today they are talking about avoiding NHS trust deficits (don’t take long) so savings are not about putting “more” money anywhere, they are about delivering within current budgets. ICB cuts also prompting a culture of risk aversion & bunkering.

Surely not just a problem for introverts…

Turning care homes into reablement centres so that people age with true quality of life and no one falls through the cracks is working - www.falkirkherald.co.uk/health/falki...

I’ve spoken to so many internationally educated physios who were woefully overqualified but forced to take entry-level roles. One had two masters and had run a college for physios back in India then started in the UK as band 5. Promotion after that point was rapid for them though.

This has to be accompanied by education of NHS managers so that reasonable adjustments are offered in every NHS workplace - and are not viewed as incongruous with the work. Sick absence and union-backed disputes are then staff’s only options to protect their health.

Tacking health inequalities means surfacing patients who have not previously accessed healthcare thus increasing patient numbers and perhaps backlogs. Hard to do both at least for some years I would have thought?

Yeah I thought last night’s press release from DHSC was carefully worded to avoid a direct causal relationship- not least because Labour improvements to CDCs not implemented yet I assume?

The more bizarre, insane and dictatorial the US looks the better the EU looks to UK voters. I expect this trend to continue

Those with knowledge and expertise are playing an increasingly vital role in safeguarding

Stop typing all those questions to ChatGPT and WhatsApp them to the brilliant brains of Electoral Dysfunction instead.

🙋🏻‍♀️ED ALERT: Do you have a question for us!? We're recording an Electoral Dysfunction Q&A special. Please send us your messages and voice notes on Whatsapp - 07934200444 or email us [email protected] & @HarrietHarman @RuthDavidsonPC and I will give you a straight answer!

I wish Brexit support was only alive with a small proportion but I hear it all the time when I’m out and about. Isn’t underestimating anti EU feeling why we Lost the referendum in the first place? We must do better.

Principles are not practical… guidelines are not enough.

Been chatting to neighbourhood teams up & down England & many identify “frailty” as #1 focus but tell me all patients are in last 1/2 years of life.

“Without a compelling vision, including one for Britain’s place in Europe, [Labour] risks being outflanked – both by history and by a movement built on anger, not solutions.” www.theguardian.com/commentisfre...

I’m just helping edit an oncology and palliative care sub to the Ten Year Plan and I really hope gov funds the unsexy, non headline grabbing basics of unpicking the NHS internal market the led to proliferation of IT systems that physios have to log in & out of to piece together complete patient info

BTW - this happened!

Women at work who tell me they are rather tired of mansplainy policy pods get a quick - and now award-winning - recommendation from me to listen to this! Congrats to the team.

A grim prediction: Nuffield Trust on new NHS guidance & mandate "For now, the reforms which will be promised in the NHS 10 Year Plan later this year will be largely put on ice – such as moving care closer to home…There is a real risk … [of] chaotic raiding of budgets again.” tinyurl.com/muyy5skd

It did seem strange timing for the gov to publish a new health mandate slap bang in the middle of winter pressures. Heading off the bad headlines!

HSJ yesterday - NHS England was considering changes to the funding regime, including “should we move to paying for [out of hospital care] activity in a similar way we pay for elective activity”? NHS England chief to select committee yesterday. Er, yeah. hsj.cdn.wilmingtonplc.com/2025/01/29/e...

Is this what happens when you ask AI to write “something uplifting” for your trout packaging?

Rachel Reeves says she is dedicated to economic growth but you’re just re arranging the deckchairs on the Titanic until we rejoin the EU.

Interesting read on why birth rate decline is due to a relationship recession - with the freedom to be happily single as a woman in part driven by social media empowerment: www.ft.com/content/43e2...

Happy #caturday from Dexter who has just been surprised by a passing pigeon. How very dare they.

So the right call. Sometimes you just gotta clap back.

BMA nailed this one - “With 7.5 million people waiting for care, the app may help some patients navigate disjointed and complex pathways of care”, calling for significant system wide improvements for real progress. www.theguardian.com/society/2025...

You can’t change everything except the workforce. Invest in more staffing to give people the mental space to innovate and adopt new ways of working.

Not to mention roads that no longer have any EU funding for roads. Will Labour reverse that?

Wow. 2025 has officially started down under, with Sydney saying hello to the new year with a stunning firework display above the Sydney Harbor Bridge as more than one million people watched below

Looking forward to 2025 - we’ve already had removing VAT exemption for private schools, sweeping improvements to workers’ rights, nationalising rail and GB Energy and an inspiring demonstration of real democracy in the assisted dying bill. Feeling optimistic and wishing kindness and love to all.

I was fortunate enough to meet him once in his early days as an MP and he was gracious, open minded and fair. Well deserved.

Two species have been proven by research to cry - mice when their babies were taken away and dogs when they reunited with owners after a long period apart. Think the boffins may have missed one. Facts at podcast Why We Cry - podcasts.apple.com/gb/podcast/w...

Caught the first few minutes of the most watched programme of Christmas Day but just don’t find men greeting a woman with a comment on the size of their breasts and the woman tittering anything other than depressing.

Recommendations please: LGBT+ Christmas movies?

Thank you to all the health and care staff working over the festive period, who have worked tirelessly throughout the year to keep patients and communities safe and well. Season's greetings from us all 🎄

No quality improvement possible without good data.

Hi - DM me about this we will campaign against.

Colour me unimpressed by men hiding behind anonymity to call a woman a “witch” and a “dog”. I fail to find this a funny local story as the reports aims to portray it.

They should forge ahead in the belief they’re going to win the next election, not with a bunker mentality fortifying themselves against the pain of an upcoming ousting. Voters elect people who look like winners.