Excellent article by #Eastbourne consultant orthopaedic surgeon @scarlettmcnally.bsky.social. She's the person on the cycle below. She highlights contradictions on transport at national and local level. The #NHS and @eastsussexcc.bsky.social need to do better! #ActiveTravel @cyclinguk.bsky.social

The NHS itself is responsible for 4% of the traffic on UK roads. As an anchor institution, it should be leading the change. Yet all anyone’s trying to do there “is convert the fleets to electric when in fact what we should be doing is supporting the staff to commute by active travel or by bus.”

Great article with @scarlettmcnally.bsky.social about encouraging less driving and more active travel to save the #NHS hastingsonlinetimes.co.uk/hot-topics/h...

www.bbc.co.uk/news/article... Local #parkrun good news! Well done Barbara Groves of Manor Fields #loveparkrun

In the 1st year of implementing a national 20mph urban/village default limit in Wales there were 630 fewer casualties. None may have been your son or daughter, but they all belonged to someone whose life has not now been devastated. #20splenty where people are. www.20splenty.org/wales_casual...

Hear from CPOC Deputy Director @scarlettmcnally.bsky.social on how the culture within perioperative teams impact patient care. Earlier this year we published a suite of resources to help improve behaviours including an infographic and poster. Find out more👉https://shorturl.at/dngb9

Read, re-post and bookmark my @bmj.com article. Change #NHS behaviours staff/students/patients NOW. Download the posters. www.bmj.com/content/391/... Thanks @afpp.bsky.social @cpoc.bsky.social @britorthopaedic.bsky.social @medicalwomenuk.bsky.social @collegeofsurgeons.bsky.social @rcsed.bsky.social

London is fast becoming a cycling city. As each new piece in the network appears—which has more than quadrupled from 90 to 431 km since 2016—so do new cyclists. Its infrastructure now sees a stunning 1.5 million daily users—a 43% spike since 2019—moving nearly half as many people as the Tube below.🧵

Congratulations to our award winners at this year's Winter Symposium. ➡️ Webb Johnson Oration Award lecture - Challenges and Opportunities for Surgeons and Anaesthetists in Global Emergency, Critical and Operative Care, Ms Rachel Hargest, Cardiff, @collegeofsurgeons.bsky.social.

We heard from Tom Howson, Head of Innovation and Transformation at the @bevancommission.bsky.social on the future of perioperative care in Wales. The Waiting Well Model aims to use preoperative optimisation to turn waiting lists into preparation lists helping improve outcomes for patients.

The health inequalities shared by @sarahtilsed.bsky.social at the @patients-association.org.uk highlight why perioperative care is so vital. By improving communication, access, and coordinated support, periop and personalised care can help reduce the barriers many patients face across the system.

On today's World Day of Remembrance for Road Victims it is worth noting that in the two years since Wales implemented a national default 20mph (32km/h) there have been 25% fewer casualties on such roads with over 1,000 fewer people killed or injured. youtu.be/efr3uVKpOwY

I think @scarlettmcnally.bsky.social is absolutely right in this piece from the @bmj.com last month. Some bits of healthcare can be simple and transactional, but a lot is much more nuanced, and there’s an important role for senior wise clinicians. Link: www.bmj.com/content/391/... #MedSky

❓Which boroughs have the highest school-run driving rates? 🚗 In London 65% of primary school journeys over 1 mile in length are driven. 👉Find out in our first-of-its-kind data dashboard bit.ly/3JdNXii #solvetheschoolrun #roadsafety

Children are now using e-cigarettes at higher rates than adults. Tom Gatehouse and colleagues argue for an approach to regulation that prioritises children’s rights and protects them www.bmj.com/content/391/...

Thanks, @scarlettmcnally.bsky.social I'm glad your mum's dying was so peaceful, & that our NHS services have made such a difference to your own prognosis. Isn't it amazing that, with a 100% mortality rate, there is so little training for doctors about dying? What a difference the right care makes.

I just wrote an article in @bmj.com about dying. #RIP Ma. Thanks @drkathrynmannix.bsky.social for the education. www.bmj.com/content/391/... @jkdhesi.bsky.social @drrachelclarke.com @lucypgeridoc.bsky.social

In this autumn bulletin article, inaugural Director of Centre for Perioperative Care (CPOC), David Selwyn reflects on the evolution of CPOC from inception to present day. From an idea in 2012, to launching in 2019, 'CPOC represents a fundamental shift in NHS thinking'. 🔗 https://ow.ly/o6eK50XlFcR

BOA response to the BMA report on sexism & sexual violence The report (7th Nov 2025) highlights important issues. Sexism has no place in medicine, and surgical career choice should not depend on gender. Read our full statement here: https://bit.ly/3LAP78f

Now @bsky.app has the lovely "bookmark" button (bottom right): you can save this for when you want a great podcast! And re-post please. @cpoc.bsky.social has stuff for everyone - patients, staff, #NHS, pathways @rcoanews.bsky.social @acumpstey.bsky.social

Our Centre for Perioperative Care (CPOC) is recruiting a Surgical Deputy Director. You will play a leading role in advancing national programmes to improve outcomes for patients undergoing surgery. Open to members of the The Royal College of Surgeons of England only. 👉 https://ow.ly/Q42U50XjQZH

Incredible. She is utterly amazing. I have such gratitude for women like her who laid the groundwork for our continued work now. Her memory will be an inspiration. ❤️

This is my mother's obituary in @thetimes.com. (Not my writing!) It's crazy how her life stretched across so much change. RIP.

At CPOC we develop guidelines with multiprofessional input that include recommendations for each stage of the pathway. ➡️Anaemia ➡️Frailty ➡️OSA ➡️Diabetes Guidelines: shorturl.at/2jonl

We had an uplifting fun #GlowRide in torrential rain in #Eastbourne! See our @bespokeeb.bsky.social #GlowRide report: bespokecyclegroup.org.uk/2025/10/24/b... @cyclinguk.bsky.social

We are looking for our next Surgical Deputy Director to join the CPOC Leadership Team. This is a unique opportunity to shape CPOC's perioperative care agenda and drive transformation across the NHS. Closing: 03 December 2025 Start: 01 February 2026 🔗 cpoc.org.uk/cpoc-deputy-director-surgical-2026

Thank you to everyone, including Rebecca from @cyclinguk.bsky.social, who braved the rain, and took the time to ride with us tonight on the Eastbourne Glow Ride. We lit up the night with our #RightToGlow, calling for safer cycling for everyone. Because when women can ride freely, we all can.

The rain didn’t dampen our spirits in #Eastbourne at tonight’s Glow Ride. Along with other groups across the country we lit up the night to call for safer streets, better cycling infrastructure, and a future where women and everyone can ride with freedom and confidence. #RightToGlow #MyRideOurRight

BOA & BOTA launch new poster on bullying! From public humiliation to unrealistic deadlines, bullying can take many forms. This new poster highlights behaviours that may be harmful and helps teams foster a respectful, positive culture in orthopaedics. Download at: www.boa.ac.uk/resource/boa...

itv.com/news/2025-10-13/dozens-of-mass-bike-rides-planned-over-lack-of-safe-cycle-routes-for-women The Eastbourne one is on Wednesday 22nd, outside the Rodmill Pub. 18:45 for a 19:00 start. Be bright and with lights ( fairy, spoke etc)

Cool to get referenced in this, @britorthopaedic.bsky.social!

Are you ready to play a vital role in representing SAS and LE surgeons at a national level? Join our SAS Forum and share your expertise, grow your network and make an impact. Apply by 31 October 2025. For eligibility: https://ow.ly/UW8850X6XGR #SASWeek25

Ebikes are magical. Cargo bikes are magical. Put them together and you have one of the most powerful ways to decarbonise our cities and make them safer, quieter, cleaner and so much more FUN.

Light up the night for #MyRideOurRight ✨ Nearly 50 #GlowRides are happening across the UK, find one near you or organise your own. Can’t join? Donate today and help light up the night. 🗺️ cyclinguk.org/glow-ride-map 💛 cyclinguk.org/glowride-donate

Interesting research on attitudes towards & use of e-cargo bikes in the UK. Particularly noteworthy for demonstrating the level of interest in e-cargo bikes nationally and the extent to which they replace car journeys. In a trial in suburban areas over 50% of the distance travelled replaced car use

Getting a few steps in before Active Travel/health conference tomorrow- on my walk to school - a long time ago! still looking glorious in the autumn sundown. Looking forward to catching up with @scarlettmcnally.bsky.social @ianwalker.bsky.social @petedyson.bsky.social @livingstreets.bsky.social

Getting people off the sofas and out of their cars does more to improve their health than any other initiative, so we need to make walking, cycling and public transport easier and more attractive for the least fit people,

“The NHS and healthcare community should lead in calling for improved transport infrastructure, safer driving behaviours, and normalising active travel. Good public transport and active travel can transform neighbourhoods and promote health” @scarlettmcnally.bsky.social www.bmj.com/content/390/...

Great talk by Clare Frank about preparation for surgery at #CPOCLeads25. Reduces complications by up to 50%. Resources open access at www.cpoc.org.uk/guidelines-a... @cpoc.bsky.social

This morning Professor Denny Levett CPOC Direct-elect welcomes our Perioperative Leads Network to the #CPOCLEADS25 at the @rcoanews.bsky.social in London. Today we will be going through a programme of rapid presentations from our leads to share best practice in perioperaitve care.

In the UK, only the health cost of road accidents is estimated to be £6bn. There are also social and economic costs that push the bill a lot higher (between £30bn and £42bn). The solution is public transport, cycling and walking infrastructure. It saves lives and money.

"As the new term settles in, let’s work on how to change our communities and encourage healthier habits. We can all do something." Love this from @scarlettmcnally.bsky.social on #SchoolStreets, the need for kids to be more active, and the role of doctors. How was your #BackToSchool week?

The evidence of the negative impact of air pollution keeps growing. We can do something about it. “By lowering our collective exposure to air pollution, we can potentially reduce the risk of developing these devastating neurodegenerative conditions on a population-wide scale.”

Wow. Check this out. Politicians actually trying to solve problems can achieve a lot! www.washingtonpost.com/climate-solu...

Our suite of resources on Improving Behaviours in Perioperative Care aim to improve team culture, wellbeing, and patient outcomes across periop care. ➡️Online resources hub ➡️Infographic ➡️Poster 🔗https://shorturl.at/fPhjp

The BSLM are hosting a free webinar on all things @cpoc.bsky.social and Prehabilitation. Join @docsunil.bsky.social and CPOC Deputy Director @scarlettmcnally.bsky.social on how lifestyle changes can transform surgical recovery. 📅03 September 2025 19:00-20:00 More info: shorturl.at/DchNq

Thanks @drjomaher.bsky.social & @bjgp.bsky.social! Great article! And it was lovely to meet you too. Thanks for your kind positivity about my @bmj.com articles and @livingstreets.bsky.social speech! #Walking improves #health.

Arthritis and cycling? A better match than you think. Cycling can ease stiffness, boost mobility and build strength. Jim thought he’d never ride again – now he’s stronger, steadier and loving the freedom of his bike. 🔗 cyclinguk.org/arthritis-guide

Embedding physical activity into health systems has many wide-ranging benefits. We're proud to have worked closely with our partners, colleagues, & localities across Greater Manchester as we begin to deliver on our commitment as a ‘prevention demonstrator’. Link: www.gmmoving.co.uk/news/new-imp...

This is excellent to see from Sadiq Khan. The evidence is clear on 20mph: “… the number of people killed or seriously injured on London borough roads reduced by 34% following the implementation of 20mph speed limits, with the number of children killed falling by 75% (from four to one).“