𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic @sib313
My opinions–not my clients'–on analytics and other stuff I'm a freelance data scientist and commentator working in healthcare. policyskeptic.blogspot.com bedfordshire Joined February 2010-
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@Culture_Crit Jesus certainly could have visited England but they wouldn't have understood his American English accent very well
Is there still a strong lobby for the NHS to approve the gene therapy Casgevy for sickle cell disease? @pash22 I just noticed that the cost of treating every UK sufferer would be about twice the entire annual hospital prescribing budget.
It is good. I do think it interesting though that government continually appoint people from commercial backgrounds to public sector roles to bring 'rigour' or whatever, & then fail to listen to what they have to say about the barriers created by government to enabling change.
It is good. I do think it interesting though that government continually appoint people from commercial backgrounds to public sector roles to bring 'rigour' or whatever, & then fail to listen to what they have to say about the barriers created by government to enabling change.
Wordle 1,046 5/6 ⬛⬛⬛🟨🟨 🟩⬛⬛⬛⬛ 🟩🟩🟩⬛⬛ 🟩🟩🟩⬛⬛ 🟩🟩🟩🟩🟩
“You get given £100mn but . . . actually you’re only allowed to spend it in £5mn increments. And [at] each £5mn stage you have to resubmit a business case. So there’s quite a sclerosis around the way government spends.” on.ft.com/3xSvzFw
So, if you're tempted to send out an e-mail complaining about an issue and imposing a solution, 🛑! Have you considered *why* the issue exists? Have you thought to ask? Might it be better to collaborate with the team to solve the issue from the bottom-up? end/
I was going to say what I really think about John Campbell and his despicable Midazolam claims, but I decided to tone it down. youtu.be/gDLnjZFLciA
@sib313 @HSJEditor Agreed there was lots of “this is impossible” There was good policy, training in flow, understanding the data, co-ordination of effort, discharge focus & local innovations led by credible people.
Excellent thread, which I largely agree with. However, I do think there are lots of missed opportunities to encourage physicians to take on management roles and provide them with support and training to do so...
Excellent thread, which I largely agree with. However, I do think there are lots of missed opportunities to encourage physicians to take on management roles and provide them with support and training to do so...
@sib313 I think what doctors are screaming out for are good, compassionate and effective managers. We don’t want to run the system, but having a voice at the table would be nice.
@sib313 Also, too much of medicine relies on the skills of the individual, temperamental ‘artist’. People ‘at the top’ of his/ her game and really not that interested in playing as part of a team.
I was there. We can do it again. If you think it can't be done please be honest and tell the public you would rather their their relatives come to harm or die because "there is no money".
I was there. We can do it again. If you think it can't be done please be honest and tell the public you would rather their their relatives come to harm or die because "there is no money".
Before exploding, please read tweet 9 in the thread and then read the whole thing 👇
Before exploding, please read tweet 9 in the thread and then read the whole thing 👇
@parthaskar @sib313 Certainly not here. And the reason (among others) why we asked our practice manager to become a partner. Because Caroline runs our little bit of the NHS way better than we doctors could / did.
Shaun Lintern @ShaunLintern
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458 Followers 331 Following Emergency Medicine Consultant Personal account of my own views only@Culture_Crit Jesus certainly could have visited England but they wouldn't have understood his American English accent very well
@KiwiPete5 @ShaunLintern @NHSEngland @LC_Environment @DavidLockQC @sib313 @CraigNikolic @mancunianmedic The 2016 Appeal Court judgment in the PrEP case makes it crystal clear that @NHSEngland needs to prioritise what it wishes to fund and then fund only what it can afford to pay for.
There is no getting away from Productivity being the word of the year for the NHS. Whilst the variables impacting on productivity are complex. (This @instituteforgov graphic is the best I’ve seen.) Solutions don't need to be. Get in touch to discuss how we can support you.
The NHS Operational Planning Guidance states that NHS England will introduce a new Productivity measurement & reporting regime in the second half of 2024/25, with metrics applying at Trust, ICB & national level. Reach us at [email protected] to learn how we can support you
Standing room only on the train. So obviously 10 people are standing in the bit next to the doors in order to make it hard for anyone to get onto the train. Meanwhile it’s just me in the aisle between the seats.🤦
It feels like the tides are finally starting to turn on this. Allowing a few thousand unelected & unaccountable people to appoint a Prime Minister is fundamentally anti-democratic. The choice should be returned to elected MPs, who are answerable to the public for their choices.
Exclusive Sir Graham Brady has said Tory members should be stripped of their ability to pick the next leader when the party is in government A leaked recording reveals the 1922 chairman said last week that the current setup is “crazy”. 👇Listen here👇 telegraph.co.uk/politics/2024/…
The combo of an insanely bad policy and a completely out of control department is going to make this the mother of all government fiascos.
NEW: The Home Office can only locate 38 per cent of the migrants it intends to deport to Rwanda. Only 2,143 of the 5,700 of the migrants Rwanda has agreed to accept "continue to report to the Home Office and can be located for detention". Info slipped out by @ukhomeoffice in a…
The design of effective digital health services doesn’t start & end with the tech alone. For example a key factor for successful virtual wards could be if the patient has milk in the fridge.
I have this request to make If you are going to send me racist abuse? At the very least get the demographics right It’s a basic minimal. No, I am not Chinese. The level of numbskull amongst some of you exceeds Jedi Master levels Thanks for considering
It is good. I do think it interesting though that government continually appoint people from commercial backgrounds to public sector roles to bring 'rigour' or whatever, & then fail to listen to what they have to say about the barriers created by government to enabling change.
Good interview with NHS Chair Richard Meddings in which he is clear that lack of capital investment is the main cause of productivity problems. (Plus how hard it is to spend the money when it's allocated because of endless rounds of business cases.) on.ft.com/3WqKvoR
A crisis for ordinary people is a profit opportunity for landlords & developers. Without fear of homelessness and manufactured scarcity of housing of supply profits would dry up. A problem for the 'have nots' is wealth for the 'have yachts'
Average rents hit record high. Tenants typically pay £1,291 a month outside London and £2,633 in capital. Govt pushes real wage cuts, no curbs on profiteering. Social housing is scarce, councils prevented from building new ones. Crisis made by govt. theguardian.com/money/2024/apr…
“You get given £100mn but . . . actually you’re only allowed to spend it in £5mn increments. And [at] each £5mn stage you have to resubmit a business case. So there’s quite a sclerosis around the way government spends.” on.ft.com/3xSvzFw
So, if you're tempted to send out an e-mail complaining about an issue and imposing a solution, 🛑! Have you considered *why* the issue exists? Have you thought to ask? Might it be better to collaborate with the team to solve the issue from the bottom-up? end/
Clearly, this is a busy unit. The author has neither acknowleged this explicitly, nor have they expressed appreciation for the team's hard work. They go directly into imposing their solution to the issue. 5/10
The author of this e-mail makes no attempt to ascertain from the team *why* a backlog of 700 discahrge letters has built-up. Maybe the software is slow, or the computers are unreliable, or there are too few computers, etc. 4/10