The NHS IT cycle of self-harm: 1 Ensure organisational knowledge is never written down, and is only in people's heads. 2 Make all the people redundant so your organisational knowledge is gone. 3 Do a 'discovery' to find out organisational knowledge your org used to have. GOTO 1

This has to be the end for the #Palantir #FDP A damning editorial in the BMJ Streeting: Make your move. Pick your side. www.bmj.com/content/393/... @coricrider.com @doctorow.pluralistic.net @comparesoftware.bsky.social @adebyrne.bsky.social @helensalisbury.bsky.social @bengoldacre.bsky.social

Nice one @comparesoftware.bsky.social ! I highly recommend reading Joe's book - it's plain speaking (unlike most of the healthcare tech literature) and it's essential reading whether you're a startup CEO or a CCIO or just curious as to how we could have made so little progress for so much money.

And if you want a quick intro to the book, here's Joe on Everything Digital Health last year taking about his booook youtu.be/sWzORLTtVck

Happy Easter folks. My tragicomic book "FHIR and Loathing in Las Vegas" about 2 decades in Health IT is free to download this weekend only. @waldo.net @marcusbaw.com www.amazon.co.uk/FHIR-Loathin...

Will you be reading FHIR and Loathing in Las Vegas from @comparesoftware.bsky.social? @roylilley1.bsky.social shares his thoughts in today's essential reading! #FHIR myemail.constantcontact.com/I-did.html?s...

amzn.eu/d/4F0rhUt My ebook is free to download til midnight tonight. 20 years of Health IT experience for free! @publicdigital.bsky.social @dhrewired.bsky.social @nhsemployers.bsky.social @nhsmillion.bsky.social @nhsenglandceo.bsky.social @nhsengland.bsky.social

I published a book this week amzn.eu/d/5x0oIXJ

If you enjoyed that discussion with @adebyrne.bsky.social then you'll probably also love the "'Make Medicine Fun Again' with Joe McDonald - HIMSS 2025 and Ambient AI Assistants" chat I had just a few days before, with @comparesoftware.bsky.social youtu.be/2gB8FAn_FK8

Feds have to take annual trainings about document retention and classified-materials markings. I’ve probably received this training a half-dozen times. And what we learn is that *wow is this not allowed even a little bit*. www.nytimes.com/2025/03/11/u...

The deal? Putin"I want Zelensky, Macron& Starmer all humiliated on live primetime TV on consecutive nights, and then Zelensky fired, apprentice style. I keep what we've taken but promise I won't take the rest of the Ukraine until after your term is up." Trump:"ok" #theartofthedeal

God help us. Trump thinks being president is the same as running an episode of The Apprentice.

ow.ly/PcaC50V4hBy new job at The Access Group, talk to me about it at Rewired @dhrewired.bsky.social

A Single Patient Record. What could possibly go wrong?

By reputation, of course! At 18F we were always acutely aware we were following in the footsteps of GDS.

Demos not memos, I can't believe I've just discovered you @waldo.net . I guess you know @tomski.com already?

I'll be spending March in New Zealand. It's a whistle-stop, 4-week tour, visiting palliative care colleagues, hospices & EoL doulas. I am so excited! I'll share the itinerary as soon as it's all confirmed. Hope to meet some Kiwi followers soon 🤞🏼🇳🇿

Talking 10 year plans with @marcusbaw.bsky.social in The British Virgin Islands @dhrewired.bsky.social @digitalhealth2.bsky.social

The unmissable double act of @pahlkadot.bsky.social and @andrewgreenway.bsky.social published this @niskanencenter.bsky.social report on re-invigorating state capacity just before Xmas. Deliberately US centric, leavened by some UK flourishes. public.digital/pd-insights/...

I suspect Elon Musk's outrageous tweets are a direct response to the risk posed by @bsky.app @dhrewired.bsky.social @digitalhealth2.bsky.social @nhsemployers.bsky.social @publicdigital.bsky.social

Starting 2025 with a short thread of my favourite, must-watch, YouTube video recommendations for anyone in Digital Health, HealthTech, Clinical Informatics, or trying to change culture in large organisations. Don't do ANYTHING else until you've watched ALL of them.

Next is Jerry Harvey's 1982 talk about the Abilene Paradox - the way organisations (couples, businesses, governments) often end up taking a course of action which is opposed to their interests. www.youtube.com/watch?v=uFQ-... This one came via my good friend @comparesoftware.bsky.social

The Millennium Bug says "hi" and Happy New Year 25 years on!

Happy new year to all. Here's a ghost of Christmas past #digitalhealth #interoperability #FHIR www.digitalhealth.net/2022/12/joes...

GET INNNNNN! 🙌

A number one rant on @digitalhealth2.bsky.social this year www.digitalhealth.net/2024/12/digi...

It is a great collaboration. I think interopen in the U.K. could be a good vehicle to do the same www.interopen.co.uk/news/publica...

Interoperability is a global problem but Australia have put together a community, "Sparked" to fix it. Should the NHS do similar or just join in? youtu.be/Vr4YlyoO_Ak?...

It never occurred to me that Santa would start bringing tiny bikes again

This year's Christmas offering has an Aussie twist www.digitalhealth.net/2024/12/a-ve... @michaelhoskins.bsky.social @digitalhealth2.bsky.social @tomski.com

Merry Christmas to all my followers on Bluesky

I have been writing a festive digital health column for @digitalhealth2.bsky.social since 2012 www.digitalhealth.net/2012/12/joes... #digitalhealth #NPfIT #EPR #UX

🎁 Here's to another year! We have launched 3 new services, got stuck in with 37 projects, supported the national EPR Usability Survey, and welcomed 33 new people to Ethical! 💖 Thank you to all the incredible clients that we work hand-in-hand with to deliver positive and meaningful social impact.

www.digitalhealth.net/2022/12/joes... Here's an old Christmas column for @digitalhealth2.bsky.social New one coming soon?

NHS England has launched a review of digital clinical safety standards, requesting input from NHS stakeholders, IT manufacturers and those involved in digital risk assessment. Full story 👉 ow.ly/kNOn50UthVk

@marcusbaw.bsky.social making the case for open source #digitalhealth #opensource #procurement

🎄✨ Christmas Special with Dr. Marcus Baw: Unwrapping the Power of Open Source in Healthcare! ✨🎄 On 18th December, 6-7 pm, join us at Let's Do Digital for a festive webinar with Dr. Marcus Baw, where we’ll delve into the role of open source software in the NHS. www.cognitoforms.com/LetsDoDigita...

Oh God, and then there were 2....

The main GP software supplier for Scotland, In Practice Systems Limited (INPS), has voluntarily placed itself under administration owing to financial difficulties. Full story 👉 ow.ly/MguN50UsrOv

OpenEvidence is free and unlimited for health professionals. Have you used it? #AI #AIinMedicine www.forbes.com/sites/spence...

A very good point. As a patient I have at least 4 separate apps to juggle. MyChart/Epic for one hospital NHS app for hospital two GP app Pharmacy app. I’m a skilled digital ursine but it’s a pain knowing just exactly what my treatment pathway is at a glance.

Delighted to see a govt advisor saying that no NHS Trust should buy the next gen of the EPIC patient record system until it's fully interoperable with the likes of the NHS App. Such robust market shaping is essential to join up services for patients. www.pslhub.org/blogs/entry/...

How do we ensure adoption of data and interoperability standards? Basically it will move to being a condition of entry. We have an ethical and moral obligation to do better - patients/consumers deserve access to their health records and to trust they are accurate and complete. 😊 #Sparked #FHIR #HL7

I doubt there will be '1 #EHR to rule them all' because whats more important are systems that are #interoperable and, thankfully, that's where healthcare is heading globally #FHIR #Sparked, away from proprietary systems where #informationblocking is a core component of an outdated business model (2)

So proud of the Aust govt leadership connecting standards to improved health outcomes. Daniel McCabe gets it and he has mobilised a huge community to make it happen #Sparked #FHIR #digitalhealth

Welcome to Bluesky to the person i like to think of as the ‘firework’ behind health data standards and all things #Sparked Kate Ebrill! 🥳 @kebrill.bsky.social

Gateshead Health NHS Foundation Trust and Newcastle Hospitals NHS Foundation Trust have announced the opening of an integrated diagnostic service, in partnership with health tech firm Answer Digital. Full story 👉 ow.ly/azQN50UoeN2

Exclusive: Digital Health News can reveal the membership of the key group leading strategy on data and technology for the NHS 10 year health plan. Full story 👉 ow.ly/wMcp50UntmF

Was great to have you in the room for the recent Melbourne #sparked workshops Joe.

Great that you could see the community in action @comparesoftware.bsky.social Thanks for joining us!