Joined November 2010
2,187 Photos and videos
Space programs and nuclear powered aircraft carriers are allowed to cost billions, clinical software isn’t. It’s software. No titanium heat shields. Software. How did we get into this mess? Find out in my book “FHIR and Loathing Las Vegas” £5.99 amzn.eu/d/5x0oIXJ
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
So when the Trump administration said they didn't believe in regulating AI turns out they do, at least regulating it away from their allies, leaving us exposed. This is why technology sovereignty matters.
The US government, citing national security authorities, has issued an export control directive to suspend all access to Fable 5 and Mythos 5 by any foreign national, whether inside or outside the United States, including foreign national Anthropic employees. The net effect of this order is that we must abruptly disable Fable 5 and Mythos 5 for all our customers to ensure compliance. Access to all other Claude models is not affected. We apologize for this disruption to our customers. We believe this is a misunderstanding and are working to restore access as soon as possible. Read our full statement: anthropic.com/news/fable-myt…
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Who to trust @bmj_latest or @PalantirTech ? Watch this and decide youtu.be/F9cO3-MLHOM?is=tRRv…
When your doctor prescribes a treatment, the evidence behind it was probably published in a journal like the British Medical Journal, or BMJ for short. The BMJ proved smoking caused cancer. It pioneered the randomised controlled trial. It is one of the four most cited medical journals on earth. This week, it published a piece that betrays that. A thread on the fall of a great journal. 🧵
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
I’m grateful to @ChiOnwurah for helping me pull together a very experienced group of NHS IT experts last year to learn the lessons of the past and discuss how we use IT to deliver integrated neighbourhood care. We wrote a white paper. Download it here lnkd.in/eisqVghn
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
I'm proud to share that I am one of the finalists for SME4Labour's MP of the year! Public voting is open and you can vote for me here: sme4labour.org/sme4labour_20…
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
During the Second Reading of the Health Modernisation Bill, I set out three tests for the Government ahead of the creation of a new national single patient record.
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
If the Met Police cannot keep Londoners safe and protect women without awarding a contract to Palantir in  a “clear and serious breach” of procurement rules then the Met have serious questions to answer. Palantir seem to think vendor lock in rules shouldn't apply to them
Palantir’s software helps the police catch criminal gangs, root out misconduct, and protect women from abusive partners. The Met Police wants this software to keep Londoners safe, but @SadiqKhan prefers sending political messages to Washington. Read my op-ed in @theLDNstandard ⬇️
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
Thanks to Newcastle University, Northumbria University and this Labour government, new flexible courses designed to help working people upskill and retrain while balancing busy lives are coming to #NewcastleCentralWest Find out what it could mean for you: gov.uk/government/publicatio…
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
No mass outpouring of grief in the NHS. No flowers or teddy-bears left at the gates of the DH … … and we continue to doom-scroll through unlikely people to take on running the health service. myemail.constantcontact.com/…
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
Man who built federated data platform defends federated data platform and now has a business working in it is hardly a story.
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A brief history of and plans for NHS IT? Here you go linkedin.com/safety/go/?url=…

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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
ICYMI: The cost of implementing a digital records system for Northern Ireland’s health trusts has soared to £400 million, taking it £100m over initial projections. eu1.hubs.ly/H0tQCwM0
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
At the @HOCcommiteesUK I asked preferred @UKRI_News chair candidate Prof Sir Leszek Borysiewicz how he would drive regional innovation and growth through science beyond the Golden Triangle where his career and interests have been so concentrated.
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
Northern Stage has been a part of my childhood and so many people's for decades, I'm proud that we’ve secured £192,600 through Labour’s Arts Everywhere Fund, boosting shows, local talent & North East voices - investing in Newcastle so the arts belong to everyone.
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Prof Joe McDonald, NHS Digital Reform Specialist retweeted
On Palantir's manifesto, not sure where to begin tho 👇🏽 is a good take. But I do know this is a critical supplier who has set out a political societal and geopolitical agenda. Does the UK Government agree with every point of it? And if not what is it doing in our supply chain?
I just finished reading palantir’s manifesto & I need you to understand what you’re actually looking at because this is the MOST important document the tech world has produced this year most people came away thinking «wow what a thoughtful essay about patriotism and technology »…I came away thinking this is the most elegant justification for corporate capture of the state apparatus ever written & I want to walk you through why krp opens with «silicon valley owes a moral debt to the country that made its rise possible » & frames the entire document as a call to civic duty, but read between the lines and what he’s actually saying is that the engineering elite should be embedded inside the defense and intelligence apparatus of the nation, he’s describing exactly what palantir has already done and dressing it up as patriotism «the question is not whether AI weapons will be built, it is who will build them and for what purpose »sounds like a warning but it’s actually a sales pitch, he’s telling every gov on earth that the choice is binary either you buy from us or your adversaries will build it without you, this is the oldest arms dealer rhetoric in history wrapped in SV vocabulary « hard power in this century will be built on software »is the key sentence of the entire manifesto because this is where karp reveals the real thesis, he’s saying whoever controls the software layer of national defense controls the nation itself & if you’ve been following my threads you know that palantir’s gotham and foundry platforms are already plugged into the intelligence feeds the satellite data, financial transactions & communications of dozens of govts worldwide through a single ontological knowledge graph that creates a technological dependency so deep that migrating away would mean rebuilding the entire institutional memory of the organization from scratch this is vendor lockin at the scale of nation states and I’m personally convinced it was designed this way from the beginning «we should applaud those who attempt to build where the market has failed to act » is karp defending palantir’s expansion into every domain the gov used to handle itself, policing immigration, military targeting intelligence analysis public health, everywhere the state retreats palantir advances and what was once a government function becomes a private service that the government can no longer perform without plantir’s permission and here’s what I think makes it even more concerning, these systems are increasingly autonomous meaning the AI layer is making targeting recommendations threat assessments & resource allocation decisions that humans inside gov are rubber stamping without fully understanding the underlying logic a bureaucrat inside the pentagon / DGSI sees a recommendation from the system & approves it because the system has been right 97% of the time and questioning it would require technical expertise that no one in the room has, this is algorithmic governance wearing the mask of human decision making «the atomic age is ending, a new era of deterrence built on ai is set to begin »is the MOST chilling sentence in the document because karp is explicitly saying that ai based deterrence will replace nuclear deterrence as the organizing principle of global power, and whoever builds that ai deterrence layer owns the 21st century the same way whoever built the bomb owned the 20th & he’s telling you plainly that palantir intends to be that builder «national service should be a universal duty » & « we should only fight the next war if everyone shares in the risk »sounds noble until you realize that he is proposing a system where citizens serve the state & the state is operationally dependent on palantir, the public bears the risk and palantir captures the value, soldiers fight wars planned by algorithms they can’t audit built by a company they can’t vote out
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