I have used every avenue available mentioned. Reality is so far removed from the sweet words of encouragement uttered by the upper echelons that I think “Speaking up” should come with a formal “this could seriously damage your health” warning.

I would urge NHS staff to be very very careful when they speak up. Process exists but its safety and efficacy to deliver what it should is very much in the lacking evidence domain. Indeed we are awash with evidence that it’s a dangerous enterprise for the speaker upper. We need better.

But still the stigmatisation and mocking undermining of staff who are struggling to carry on continues. Mental ill health has causes - and weakness is not one of them.

Nice to see @isiaq.bsky.social, ASHRAE, and American Lung Association among those organizations.

Comparing apples with apples from my tree. It’s an undervalued skill set. Oranges don’t enter into it.

It is still a global problem. Along with many infection threats to health. We need peace, intelligent informed dialogue, open culture of disagreement not being construed as hate, factual integrity and genuine fairness. These foundations are being eroded at scale and pace. Only the bugs win.

The UK National Action Plan for AMR highlights lPC in health care as a crucial strategy for tackling the threat of AMR. This specifically includes the health care built environment. Neglecting IPC will endanger AMR control.

One of the best things in the Hillsborough Law Bill is not the duty of candour on public officials, as welcome as that is, but news that bereaved families will have publicly funded legal representation at inquests. Finally an equality of arms that's been lacking for so long

When you accept bad things as normal and irreducible, you fail to achieve brilliance.

I wonder how many polyclonal infections of many bacteria we miss ? Single colony typing and purity plating narrows down our understanding of what’s going on in patients.

📢Help save Coul Links! Once again, this beautiful place is threatened by plans for a golf course which would do irreparable damage to rare habitats and wildlife. 🌱🦆🐦🦋🪰 Join us in sending a message to Scottish Ministers to stand up for nature. Add your voice: action.rspb.org.uk/page/166270/...

www.science.org/doi/full/10.... Mandating Indoor Air Quality in Public Buildings. Our paper in Science. 🧪 #healthpolicy

9 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American." It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...

🚨😷🚨😷🚨😷🚨😷 BREAKING NEWS At last, in the UK, we now have official guidance on the use of respirators (FFP3) vs Fluid Resistant Surgical Masks (FRSM) which has been prepared SPECIFICALLY FOR THE HEALTHCARE SECTOR. 🚨😷🚨😷🚨😷🚨😷

Just when progress was in reach. It’s infectious aerosols that you don’t want to inhale if you don’t want these respiratory viruses infecting you. Layers of pain for many.

So short sighted to reduce health care to economics and staff to functional inputs rather than caring humans

One of the things I try to bring out in this piece is the worry that sometimes statistical battles are a proxy war about values under the guise of technocracy pbe.co.uk/insights/bey...

When policy verbiage is window dressing it’s a potent source of moral injury, gaslight and bullying. It’s not hard to tell the difference from the inside. And from the outside a wee but intelligence applied would prevent obfuscation of reality. Look beyond the policy at reality.

Sinks and infection control risks - been a long time known about and intermittently get attention

Klebsiella pneumoniae remains a notorious bug that keeps challenging us in clinical practice—its resistance mechanisms are complex and relentless. This article offers valuable insights. A must-read for the ID community—please share. #idsky

When scientists say things like, "opening a window lowers the risk of transmission by 38%", where do they get these numbers? Well, they use airborne transmission models. In my latest explainer video I walk through the history of these models, what they do, and what the don't.

They've had warning signs for polluted beaches and water bodies...this might be the first one for the air near a polluted river. Direct result of our study just published in Science today. today.ucsd.edu/story/tijuan...

MarieAnne is cycling to raise money for the charity Mind In memory of Sarah Jenkins - an amazing friend and doctor. A whistleblower and a passionate patient safety advocate. We miss you Sarah.

Justice is expensive, and that’s not justice.

Are there any countries left that the populace have solid confidence that justice is reliably being upheld and delivered irrespective of power and money status?

No political party has a monopoly on this, but when top dog leaders idolise spin and demonise dissent - every single institution gets a free pass on lies and bullying. Thats how countries are ruined. And we all know it.

Weird how a song can bring people to mind. “I am titanium” Turned out we aren’t. Missing my friend. No one is bullet proof.

Is this a public service mantra ? “With really, really good communications, you might be able to make people feel safe, even if they’re not.” In NHS land see the missing piece ? Informed consent.

Certainly have yet to experience a glut problem in the veggie growing department.

Generally speaking sewage leaking into any clinical care space never mind high risk areas needs a proper fix - not a “risk management” approach that forgets the point of hospitals in the first olplace . www.telegraph.co.uk/news/2025/08...

Generally speaking sewage leaking into any clinical care space never mind high risk areas needs a proper fix - not a “risk management” approach that forgets the point of hospitals in the first place . www.telegraph.co.uk/news/2025/08...

Too good an offer - yes please to a VAPOR unpacking @dfisman.bsky.social

Telling a thirsty person to get water from the pump and the pump is broken is cruel. As is telling staff to use policies that are fake and fraught with injury.

The point of Microbiology Diagnostics 101 !!

If you feel that it’s been a tough old week - There are people to talk to and reach out to. Don’t be alone. Here is a fundraiser for the Samaritans in memory of a very special person. sarah-jenkins.muchloved.com

The term “support” can be a cover for a multitude of toxicities in a rancid workplace. Regulatory bodies need to dig, not pat.

No one should be starved wilfully by others who hold the food. It’s vile beyond evil.

There is very simply no point in directing staff to defunct policies. It’s just trite to witter on about policies if they have already been proven to fail and harm. Fix things. Then advise staff.

There is nothing normal about starving fellow humans wilfully, in a calculated act of horror. Normalise this and there is a darkness descending of global consequence.

An excellent summary of the shortcomings in the changes to Healthwatch, the National Guardian Office and the effectiveness of raising concerns proposed by the Dash Review www.bmj.com/content/390/...

Managers directing people in the work place to use policies have an ethical obligation to ensure those olives are fit for purpose in : - delivering outcomes -not being damaging - not precipitating suicidal thoughts for those utilising the policy and ensuring a malignant process

Vaccinate Pay attention to exhaled virus - where they go and avoid inhaling. Loads we can do We were meant to be working together to eliminate. Imagine - it was within reach. Let’s do that effort again.

“I hope this serves as the wake-up call that NHS Forth Valley need. Their FOI response times over the last 18 months have been terrible.”

“the kindest person in the room is often the smartest.” JB Pritzker is a mensch.

Key differential. And a failing system conflates the two and covers up both.

This is tragic - please please vaccinate your children against measles! www.bbc.co.uk/news/article... here is Indie SAGE report on preventable childhood diseases - including measles! Screenshot from report below. please share! independentsage.org/wp-content/u... 1/2

That’s just physical assault, fraud and lying. None are compatible with having medical professional status. Where exactly are you aiming for America?

From up there, flying back home the world seemed serene. Like maybe humans are the issue.

“What we choose to count reveals what we have chosen to care about” Spot on