BBC News - Spending without thinking is a risk with unlimited contactless cards - BBC News www.bbc.co.uk/news/article... I'm thinking about that button in Lucky Voice that says 'Chips'

www.theguardian.com/business/202... I honestly think that in the future, we will look on betting companies like we look on Purdue pharma now.

We've been working over the last year to *really* understand the issues of timeliness in emergency general surgery.... @rcoa-cri.bsky.social @thisinstitute.cam.ac.uk

I'm at @ageanaesthesia.bsky.social annual conference today in sunny Brighton! Talking about @thisinstitute.cam.ac.uk @rcoa-cri.bsky.social project to improve timeliness in emergency laparotomy...

This is a deeply depressing article. Change and innovation thrive in a culture which gives people the tools they need to do the job & supports positive risk-taking. If your hospital is inefficient because the ceiling is falling in or the IT is ancient, cutting the tariff won't drive improvements.

I'll be presenting at the @roysocmed.bsky.social webinar in Emergency Laparotomy on 9th April- www.rsm.ac.uk/events/anaes... free to members and non members!

www.theguardian.com/politics/202... very disappointing rhetoric. The only person making the diagnosis is the person talking to the patient, based on their understanding of ICD-11. Whether we have the *implication* of that diagnosis is right is another matter (that's what I think he means)

This years #AAACONF programme includes a full NELA session you don't want to miss❗️ Register now to see Dr Louise Silva, Dr Ee-Neng Loh & Dr Carolyn Johnston present about the National Emergency Laparotomy Audit. emdevents.eventsair.com/aaa-2025/regpg

"Oooh, you are awful....but I like you"

Resident Drs- please take 5 mins to share your views on emergency laparotomy guidelines: are they easy to follow? Is it easy to escalate? You can help improve care (and get portfolio evidence for your contribution!) www.thiscovery.org/project/impr... @rcoa-cri.bsky.social @thisinstitute.bsky.social

www.theguardian.com/commentisfre... This is a very good piece. I saw The Years and absolutely loved it. It did stop in the middle to let someone out. It deserves so much more than this notoriety. @katemaltby.bsky.social thank you for writing this.

This is what happens when you cut funding, but 'protect the front line'. www.theguardian.com/society/2025...

www.bbc.co.uk/sounds/play/... Broken food policy Henry Dimbleby (c11m) on the m multiple friction costs across multiple depts slow progress Depts with control over levers that determine health don’t care about health - in fact if they successfully achieve their goal poorer pop health may result

Just 12 (ish) questions to help improve emergency general surgery 😎 we are looking at capability, opportunity and motivation to follow the guidelines. Please have a look at the survey and join the online community to share your thoughts on the results

Our second survey is live! Looking at emergency laparotomy guidelines- are they easy to understand and does everyone want to follow them!? Please take 5 mins to help improve emergency laparotomy care (and get CPD evidence!) www.thiscovery.org/emlap/improv... @thisinstitute.bsky.social

Age Anaesthesia Association ASM 2025 will be taking place in Brighton! Sessions and speakers confirmed🎉 @scarlettmcnally.bsky.social @jkdhesi.bsky.social @elboghdadly.bsky.social Register now: emdevents.eventsair.com/aaa-2025/regpg #AAAConf #AAA2025 #Brighton

✨Speaker Spotlight✨ Dr Carolyn Johnston will be joining us at #AAA2025 Talk entitled : "Improving the timeliness of emergency laparotomy (THIS Institute)" @drcjohn.bsky.social Book now to receive early bird rates! emdevents.eventsair.com/aaa-2025/regpg #AAACONF

There is simply no environmental, noise or air quality reason to build more at Heathrow. More people live under the Heathrow flight path than any other airport in Europe- nearly 700k people. That is more than the next 3 highest added together and x4 those living below Charles De Gaule....

Just published: our new Element looks at the key principles of measuring improvement and highlights the importance of using multiple measures and approaches to gathering data. Written by Alene Toulany and Kaveh Shojania from @tmu-medicine.bsky.social, and it's free to access: https://ths.im/4amXhJZ

Pic taken at another hospital, but could have also been ours (or also at my GP!)! Has anyone got value from check-in kiosks? Please help me with the key to your success! (Or give us all the confidence to abandon them)

Big day yesterday, as our department was @rcoanews.bsky.social #ACSA reaccredited for the *THIRD* time! From my time as ACSA lead, I know how much work is involved 🥴. Plaque on the wall already, so definitely more organised than I was 🤣🤣

Duty floor anaesthetist day!

Maybe I've missed it, but I've not seen any evidence/analysis that Advice and Guidance in general reduces demand in secondary care (if that's the key aim). Robust triage and good relationships between clinicians is preferable to a clunky impersonal interface via ERS

www.theguardian.com/society/2025... I've been working on some of this for the last few years, it will be interesting to see the details. On self booking appointments on the app- I would love to see this, but it is fiendishly difficult in implementation (so has reasonable capital costs!)

Correction: “The walls were painted by an anaesthetist who wanted to give patients something to look at while they waited for their surgeon to send a valid group and save.”

This feels very accurate. Also in work-life (certainly my Dad's business) or contracting people like tradesmen, estate agents, instance brokers etc, a lot of emphasis is on personal connection. I find it very strange in England that this is not the case

Wonderful to see @orangetreetheatre.bsky.social on this list! We've seen so many amazing productions there, and going again in January. Something magical about 'in the round' in a small venue www.thestage.co.uk/news/the-sta...

What a great welcome home!! #tayto #crispmas www.linkedin.com/posts/tayto-...

I enjoyed Kristina's short review of collaborative learning systems 😎 Why did I want to lead one? ✅Many of us are smarter than one of us ✅Complex problems need creative solutions ✅We've tried the old approach so many times ➡️it doesn't work, so try something new (see my pinned tweet to join us!)

What to understand what a collaborative learning system approach might look like for healthcare? @thisinstitute.bsky.social's approach explained here in just 7 mins by Kristina Wanyonyi-Kay www.youtube.com/watch?v=kxGx...

Over 100 members of our emergency laparotomy online community 😎. Emergency medicine, surgery and anaesthesia all there in pretty equal numbers....but where are the radiologists? Please share and join to help improve care using new approaches: community.thiscovery.org/topics/46144/

Take 15 mins to make a difference to emergency laparotomy patients...we are using new methods to solve an old problem- please take a look and join our community to take part 🤝💪

Evidence is too often thin in general surgery: a call to generate more & better science to support clinical decisionmaking from @ucsfsurgery.bsky.social authors! @ucsfhealth.bsky.social @ucsfcancer.bsky.social @hannahdeckermd.bsky.social #SurgSky #MedSky jamanetwork.com/journals/jam...

I only really drink this in airports...... (Well, one airport to be precise)

A nice thing about being on here is refinding some excellent accounts that were being drowned out by the crap 😊 #medsky

The big issue is why Tayto have so many onion based flavours (beef and, pickled, cheese and, spring onion) AND WHY THE LAST ONE ISN'T CALLED SCALLIONS?!?

I'm at #EGS2024 today, talking about @thisinstitute.bsky.social EmLap timeliness project today. www.thiscovery.org/emlap/improv... (The best joke about an anaesthetist talking to surgeons will get a mention in the talk 😂😂)

Join us to help improve the timeliness of emergency surgery! We are using new methods to solve an intractable problem: join the online community and share your experience on the link below.... www.thiscovery.org/project/impr...

What supports mattered to UK anaesthesia trainees following a patient safety incident? • Proximal debrief with a senior colleague • Private, psychologically safe environment • No expectation to continue working https://buff.ly/40IYmJ4

www.thiscovery.org/emlap/improv... Please have a look and share with *anyone* working on emergency laparotomy pathways, to help us use new methods to improve care 🤓

Your experience matters! Join an online community looking at ways to improve the timeliness to emergency abdominal surgery. We're looking for healthcare professionals working on the emergency laparotomy pathway. Find out more rcoa.ac.uk/research/resea… @thisinstitute.bsky.social

Your experience matters! Join an online community looking at ways to improve the timeliness to emergency abdominal surgery. We're looking for healthcare professionals working on the emergency laparotomy pathway. Find out more rcoa.ac.uk/research/resea… @thisinstitute.bsky.social

What a great day at @thisinstitute.bsky.social fellows day. So many clever, interesting people doing fantastic work.

Dire Straits.