An effortless, balanced & worthwhile read. Particularly like the red flag reference🙂 Little sign of a cohesive system-wide approach, instead, individual practices adopting a NIKE approach – ‘Just do it.’ Or not... So much potential to do it right though. www.hsj.co.uk/daily-insigh...

Twitter totally inaccessable ERROR: Cross-Origin Request Blocked: The Same Origin Policy disallows reading the remote resource at play.google.com/log?format=j.... (Reason: CORS request did not succeed). Status code: (null).

This is good from @policyskeptic.bsky.social www.hsj.co.uk/daily-insigh...

A really good NHS ten-year plan would have focussed on sorting out the plumbing before trying to build shiny new ways to make the NHS great: www.hsj.co.uk/daily-insigh...

David who is 17 years went missing on 6th June, he & his family are friends He got on a flight to #kualalumpur via Dubai The police in UK have been investigating & have passed on information to police in Malaysia. But 4 weeks & no leads to his whereabouts Please share #Malaysia mol.im/a/14883131

From just before GE24: Wes Streeting: new think-tank data shows primary care collapsing. Also Wes Streeting: think-tanks do health establishment complacency and groupthink www.healthpolicyinsight.com/cowpers-cut-...

The new NHS plan for emergency care is full of distractions and doesn't focus on the key causes of the problem: www.hsj.co.uk/daily-insigh...

Crowdsourcing: I'm looking for a reference to support the statement "RCTs are a cultural product". Any sociologists or philosophers of science know a good one? #philsci #healthpolicy THANKS!

The new NHS UEC plan is a shock. It is the first plan in a decade not to be full of garbage and to have some genuinely useful ideas. And I don't often say that about NHS plans: www.hsj.co.uk/emergency-ca...

Why promote the benefits of research using NHS data when the current NHS has neither the capacity nor the will to use its data to tackle immediate current operational problems? ...

Sarah Neville in the FT on lunch with Amanda Pritchard: "The NHS contributes between 10 and 20 per cent to people’s health, she says — a figure I find startlingly low" This widely quoted figure is startlingly low because it's probably wrong.🧵 www.ft.com/content/5cf4...

The government is very excited about the value of NHS data to support the development of new treatments. This is the wrong focus: the big opportunity is to use data to improve the existing NHS: www.hsj.co.uk/daily-insigh... ...

This from Donald Macaskill from 04:30 in, completely nails it. We must think of the patient journey as a whole, regardless of silo or care setting. creators.spotify.com/pod/profile/...

The GMC's survey for trainees and trainers is now LIVE! 📊 Insights from the GMC's national training survey are vital for addressing challenges in health services. Let’s ensure training is valued and protected. Participate in the survey: gmc-uk.org/nts

And, to be clear, the NHS and public consensus on what the root causes of problems are is often very badly wrong. Zombie ideas dominate (for example: www.hsj.co.uk/daily-insigh... )

I have a big worry that the NHS 10-year plan is trying to derive the strategy from consensus views of the solutions. It should be driving the solutions from robust analysis of the problem and trying to get a consensus around them...

The only thing that matters with the abolition of NHSE is whether what replaces it is more effective at driving improvement in the NHS: www.hsj.co.uk/daily-insigh...

And so much more. In aggregate NHSE was a miserable failure at understanding the real causes of NHS problems and was an organisation that chose popular solutions over effective ones...

My latest column, on why NHS England got abolished and what it means, is going outside the paywall for an hour or two. If you’d enjoy a weekly column on what’s happening in NHS policy and politics and what it means, why not subscribe? www.healthpolicyinsight.com/cowpers-cut-...

Lest we forget - a moment of reflection

@lindsaygrahamuk.bsky.social Treat yourself well today, do something worthwhile, help conserve this amazing view by making a Comment at wam.highland.gov.uk/wam/ Reference 24/05246/FUL #Glencoe #Ballachulish

This is an incorrect diagnosis. The volume attending A&E has never been a major cause of A&E crowding. The problem is the speed of flow: www.linkedin.com/pulse/queues...

I don't want a bigger Emergency Department. I want a functioning social care system and a primary care service that can meet demand. If we don't get that, the blockage in ED is going to get worse and more people are going to come to harm and die. 1/3

www.westcoasttoday.co.uk/news/ballach... View of #Glencoe and #LochLeven threatened by plans for a corrugated metal clad Whisky Distillery on south shores of Loch Leven at #BallachulishBridge @carolynfahm.bsky.social

So why, if Steve Powis knew he was leaving (told colleagues in January), did he take the review of Post-graduate Medical Education brief - surely something someone who was staying should be in charge of this Sums up NHS England’s ideas of workforce planning Short term and poor

Attention UK #MedSky and #POCUS instructors: anyone free for a (paid) day teaching in Hereford next Mon 10th? Due to a family emergency our booked tutor can’t come… I’ve got the Tues covered but desperate to find someone to teach a small group of beginners on the Mon. Message me if you can help!

www.pslhub.org/learn/cultur... Patient Safety and Whistleblowing

As great or greater potential for digitalised #NHS integrated seamlessly across NHS England Scotland Wales & NI. Even more potential if integrated with Social Care. @vidimo.bsky.social

bracing for @hpiandycowper.bsky.social suggestion that Matty Hancock is the answer....😉

www.theguardian.com/society/2025... If only NHS had paid attention to our @thekingsfund.bsky.social publication on information disorganisation at the frontline in 2017. www.dropbox.com/scl/fi/n3et3... @JKMVidimo @wesstreeting

Looking at some NHS stats over the weekend (as you do). patients remaining in hospital who no longer meet the criteria to reside, for Jan in particular - total of 418,129 which in short = delays days. www.england.nhs.uk/statistics/s...

#ICYMI No sign of winter pressures easing. A&Es bear the brunt of a gridlocked system. Hospitals are running dangerously close to capacity, thousands of people each day remain in hospital when they could go home and the system is grinding to a halt. Full article: rcem.ac.uk/no-sign-o...#ICYMI

ICYMI (from 5 years ago!) "We suggest that the challenges of reducing professional practice to task delivery, which nursing is currently facing, will begin to impact other professions, including doctors" Elaine Maxwell Alison Leary: In praise of professional judgment blogs.bmj.com/bmj/2020/05/...

An interesting podcast here www.bbc.co.uk/sounds/play/... but would like to see the conversation expanded beyond clinical data and look at the broader operational & coordination aspects, to improve patient flow, whatever silos or care settings it may traverse.

#ICYMI New guidance fails to address how ‘national shame’ of corridor care and excessive A&E waits will be tackled. RCEM responds to the government’s ‘mandate for the NHS’ and NHSE planning guidance. Read the full news and President's statement: rcem.ac.uk/new-guida...#ICYMI

What @hetanshah.bsky.social said:

www.bbc.com/news/article... I met one outstanding Chairman during my 42 years working in the #NHS ...

Time to fund General Practice For the cost of one A&E appt @rthonwesstreeting.bsky.social can have 10 GP appts But even this maths is wrong because the current cost of a GP appt is £23 not £40 due to cuts in funding

Our take on the current set of problems across NHSE, ASC & DHSC Paraphrasing Larry Weed www.youtube.com/watch?v=qMsP... You can't look at the management of a single problem without knowing & understanding all the problems." problems with A&E & appts - look at all the flow problem as a whole.

An interesting exchange re LoS and DToC over tht past few weeks which we thought needs clarification. LoS (Length of Stay) is the total duration from Admt to Disch. Within LoS may be an element of delay. It’s vital to be able to view these delays in detail but currently, the focus remains on LoS...

We HAVE to stand up for NHS Whistleblowers - because one day this could be any of us…. we all know there is a long and illustrious history of the NHS forcing people out who stand up for patient safety.

McDonald's is overturning council attempts to prevent new fast food outlets by claiming they will encourage healthier lifestyles, reveals a BMJ investigation. It shows the firm has won planning appeals in some of the most deprived areas of England www.bmj.com/content/388/...

Innovation doesn’t always come from the biggest players. Sometimes, all it takes is a fresh perspective a good idea and a willingness or necessity to do things differently. Right NHS?

Folks writing local "access" plans to "save UEC" really need to read this. Even though you've been told before. Go pester someone with an HSJ subscription if you don't have one.

NHSE management processes are a dumpster fire: www.hsj.co.uk/daily-insigh...

Long waits in A&E kill patients. Maybe a thousand every month. The recent ONS analysis has issues but makes the problem look worse than previous analyses: www.hsj.co.uk/daily-insigh...