50 months? How the hell is that a "significant sentence ... in order to be a deterrence, and to send a message." - that's nothing. Like, legitimately how has this happened #pdiddy Aside from ya know, money buys everything in 'Murica.

Also for those wanting to avoid having to ID on platforms, grab a VPN via a cashback site. I paid about £20 for 5 years access to Private Internet Access. Topcashback are offering 105% on nordvpn subscriptions currently.

Petition: Repeal the Online Safety Act petition.parliament.uk/petitions/72... Was hoping this would have been spiked before it made its way into implementation. Disappointed to see the only party against it is reform (based on very different motivations though).

Meanwhile if I want to make even the smallest tweak to the #NHS I'm instantly handed impact assessment paperwork.

This isn't getting enough attention: policyskeptic.blogspot.com/2025/05/a-wa... ...

The Guardian (and the IoG report) are wrong on what patients want from their GPs. www.theguardian.com/commentisfre... ...

Whenever I think about the model ICB structure being worked up centrally, this is all I can picture. #pharmsky #NHS

Reducing duplication between NHS E and DHSC has been a main plank of the rationale for NHSE's abolition and 50% cuts to the centre. But how much duplication is there?

After seeing FiveThirtyEights implementation of this idea (thank you @andrew.heiss.phd for sharing), I've been working on a medicine themed p-hacking simulator called Placebo playground: medicines.charlwood.xyz#phacking #pharmsky #healtheconomics #medsky #pharmacy 1/3 🧵

A seriously niche post here for PCN and general practice folk confused by "adjusted list" sizes. Part 1: the background and workings. Start here, or skip to part 2 if you just want to see numbers. Two documents here:

If every single Bluesky user's profile doesn't include "Currently clean on OPSEC" by the end of today I don't know what this platform is for at all.

Not sure what's better in this post: 1. The really interesting data 2. 40 year old men being described as middle aged.

This is absolutely brilliant!

Today is a planned day off. Burning residual leave. I seem to have more tasks allocated today than if I’d been doing a full day at work. I should have just told my wife I was at work and sat playing computer games all day…

Out with the clan

How firm is the hold of antivax beliefs? From the parents of the 6 year old unvaccinated child who died of measles: “Don’t do the shots,” the girl’s mother said. Measles, she added, is “not as bad as they’re making it out to be.” She noted that her four other children all recovered…

Everyone loved Big Mango funding dodgy studies so much that I wrote about it. open.substack.com/pub/gidmk/p/...

OK, every year I try to explain to my students how LLMs work, and every year I have to do a big trawl for good resources and activities. Here's this year's haul of *introductory* materials. (In-class activities + visualizations, not so much readings.)

I am absolutely terrible at sticking to 300 characters. I must admit I miss the long text feature of the other place...

I have a big worry that the NHS 10-year plan is trying to derive the strategy from consensus views of the solutions. It should be driving the solutions from robust analysis of the problem and trying to get a consensus around them...

Every time I find one of these, I laugh harder. Today's find - headlines saying that mangoes can improve diabetes. The study was funded by BIG MANGO. Wonderful stuff. Better than fiction.

After reading this post, I felt I should make my first post... ...so i'm sharing a little toy web app/game i've put together to help people understand ARR/RRR/NNT (apologies to pharma colleagues for the bad pharma inspired game). medicines.charlwood.xyz Adding some QALY bits on the next update...