Although Westminster stuff is entertaining, true politics is actual policy. Including the serious crisis of state capacity in part caused by the austerity of the 2010s - putting anyone and everyone vulnerable at risk. committees.parliament.uk/committee/12...

DHSC published its impact statement for the 10 Year Health Plan this week (yes, that is 6 months after it published the plan) It's more measured and clear-eyed than the original document and quite a contrast to some of the effusive optimism in the plan Some of the things that caught my eye 👇

So sad, and so scary to read this about the decline of the chemicals sector. This is where i started my career... one Ammonia IV by products on Billingham site, Carbon Dioxide number 3 plant. Bubbles for Coca Cola, (b1979, no ladies loo for female engineers?!) news.sky.com/story/why-en...

I really do enjoy No Meetings Fridays. We adopted this a couple of years ago and only allow external meetings where they can't/won't shift. Some weeks I get more done on a Friday than I do in the other four days in the week.

Community services are under growing strain, with almost 1.2 million people waiting for care, and the steepest rise among children and young people. As neighbourhood health services are rolled out, addressing pressures on community care will be essential.

I enjoyed this interview with Michael Heseltine: www.thetimes.com/article/9… Hard to disagree with this diagnosis: "This repeated failure to deliver people’s aspirations after the 2008 crash, Brexit and Covid means we now have t... https://richardpope.org/2025/10/28/i-enjoyed-this-interview-with/

Serious Impact On Patients When Emergency Services Struggle - Channel 4 Dispatches | The King's Fund www.kingsfund.org.uk/insight-and-...

Great to hear @andreadgibbons.bsky.social talking about her 100 Voices project. Stories are the thing that make quality improvement real. #QISky #QIWeek

Not sure I'm going to get time for tea on a train today @lourodrigues.bsky.social nevertheless I thought of you!

Q5: I have gained a renewed sense of connection with the QI tribe which I missed from the other place. I think I will do more exploring of the values of the project team in the early stages of a project and note them so we can refer to them.

Be part of the QI conversation and help build the improvement community …

The model for large scale change - the framing and reframing loop is helpful, I think. See page 20 here #QISky https://www.england.nhs.uk/wp-content/uploads/2017/09/practical-guide-large-scale-change-april-2018-smll.pdf

📢 DON'T MISS OUT! Join us on Tuesday 9th September from 7-8pm BST for a QI Community Live Chat! Follow #QISky and please remember to include the hashtag in your posts so others can see them and respond! #QIWeek2025 #AHPQI

Join us next week for our #qiweek2025 Spotlight series! We're showcasing how QI teams are driving improvement Each day a different team will share their work 🔗 Sign up tinyurl.com/qiweek , use QR code or email [email protected] @lourodrigues.bsky.social @terriporrett.bsky.social

#QISky and #AHPQI are partnering for #QIWeek2025 to host another #QISky Chat on BlueSky to bring the #QITwitter community back together and re-build momentum and conversational connection! Share and See You There! @naomi-burden.bsky.social @jokitchen.bsky.social

A fairly upbeat message about the new NHS 10-year plan by @chrischirp.bsky.social open.substack.com/pub/christin...

Women spend more years of their life living in poor health than men, including through their working years. Scroll through our #QualityWatch data story to see how the burden of disease affects working-age women and men differently 👇

When choice isn’t care: some thoughts on Wes Streeting’s NHS speech The health secretary’s NHS vision talks justice, but delivers metrics – offering digital fixes where deep, relational care is what’s truly needed By Mike Chitty @yorkshirebylines.co.uk

I was over in Amsterdam for HLTH Europe conference recently. I interviewed new NHS England chair Penny Dash on the main stage...given the NHS 10 year plan is out next week. Here's some of what she had to say...

The @thekingsfund.bsky.social comments On Measures In The NHS 10 Year Plan To Tackle #Obesity Through Incentivising Healthier Food Choices (good start, more to do - see my early take in previous post) www.kingsfund.org.uk/insight-and-...

My piece for the Observer this month previews the NHS 10 year plan and asks why so few of the previous plans have worked... observer.co.uk/news/opinion...

Rebuilding regulation. carequalitycomm.medium.com/rebuilding-r...

Had a great day all. Amazing what you can learn from making ... in batch at first... paper aeroplanes.

So today trying something not tried before. . Introducing idea of batch and Q; and flow to a room of analysts. How many others out there fed up of waiting for an informatics request? So let's see what we can learn today. (Might of course also go horribly wrong)

Having a fun afternoon. Me and the wonderful Maeve prepping the Aeroplane game! What learning can we share with analysts about flow and team dynamics tomorrow by making paper planes...

I’ve no idea where the 90% increase in demand comes from either @policyskeptic.bsky.social Tho disagree on flujabs being in the cause hospitalised flu bed days impact flow for crit care & reg beds. Resp LOS redn imho fastest way to improve thruout safely & reduce >12hrs. Been there, done that

Always exciting to see your own writing in print. #QI Available here www.amazon.co.uk/Healthcare-M...

Opportunity I wish had been around 10 years ago... looks pretty cool imho. #PhD #postdoc www.jobs.ac.uk/job/DNI264/t...

The NHS is to open a network of mental health A&Es across England to relieve pressure on hospitals - reports @eleanorhayward.bsky.social www.thetimes.com/article/aaa5...

Looking forward to sharing our work using the Toyota Kata to drive improvement in digital and data later this morning. #Quality2026 internationalforum.bmj.com/utrecht/sche...

Almost ready to perform my keynote @theihi.bsky.social forum 2025 - looking forward!

The magnificent Little Moreton Hall, near Congleton, #Cheshire. Early C15 to circa 1600, GI listed. In the care of the @nationaltrust.org.uk. #Woodensday #TimberFrame 📷 My own

Very pleased to see the official publication of 'Healthcare Management' (4th edition) today, edited by Dr S Moralee, Dr Sidhu, Prof. J Smith & Prof. K Walshe, incl. a chapter updated by me on ‘Quality Improvement’ #QI #QIsky Further details: McGraw Hill lnkd.in/eEH5an8W Amazon lnkd.in/ek2uQxaX

Not sure why I'm imagining the impetus for this to more likely come from medics rather than managers. Are there other views..? @joyfurnival.bsky.social @acutemed2.bsky.social @nigel-edwards.bsky.social @hbuckingham.bsky.social @policyskeptic.bsky.social @laylamccay.bsky.social @beans2er.bsky.social

Fourthly, short stay elective and day case ward areas present particular challenges. If specialties sometimes use these areas for ‘boarding out’ inpatients, then we need to tease those patients out so that they can be ‘re-patriated’ to the main specialty count. 8/14

We have this tendency in the NHS of reporting hospital inpatient activity using ward-based numbers, as if in denial of how much bed borrowing and lending goes on. 5/14

But there are also practical obstacles preventing us from doing it. Obstacles to do with how we actually count patients and beds and length of stay. Here are five examples of the things we need to get right if we want to show a specialty what its flow metrics are. 3/14

“So we’ll have choices to make, the biggest choices will be about how we tackle variation and improve service standards and productivity in this next period.” And services provided? #NHS #MedSky www.telegraph.co.uk/news/2025/05...

Nice day to be on Campus

data on applications for postgraduate medical training posts. we have a problem

Query for academic folks.. wondering who might know key academic author I can just to search out from for .. re use of #AI and #qualitative analysis methods... opportunities, risks, novelty, limitations, etcetera. Much obliged. Thank you.

Enjoyed myself today at one of our provider engagement workshops about how we can improve. Just my cuppa... felt right at home too... one Manchester campus just by AMBS!

Heard on the news that Metropolitan Police are still looking for leads. I phoned and told them it’s near Bradford. #dadjokes

"2025 has been a God-awful year for believers in American institutions." (this indisputable truth is followed by an interesting and actionable suggestion about why and what might be done about it, worth a read) danieldrezner.substack.com/p/the-plural...

This is our go to place. Love the beignets in the summer from Hive Bakehouse! This shed is right next to the dentist , so teeth check up and then cake?! Delish www.bbc.co.uk/news/article...

ICYMI - my piece last week for @uk.theconversation.com on the announcement to abolish NHS England. Trying (with good reason) to shift the balance of power, but likely tipping into the turmoil of reorganisation #NHS @hpiandycowper.bsky.social @profnaomifulop.bsky.social @becksfisher.bsky.social

After an eight day journey ended up taking nine months, good to hear that astronauts Butch and Suni are to be the new ambassadors for Northern Rail.

My views on abolition of NHS England. Is the NHS capable of being controlled by Ministers? And why political, managerial and clinical leadership are all needed www.bmj.com/content/388/...