Joined August 2019
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13 Nov 2024
Not as tight at the top of the table as we'd expect at this stage, but plenty of road left to run...
13 Nov 2024
League tables to reveal failing NHS trusts bbc.in/3Z2aQtY
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Sebastian Rees retweeted
Jun 12
BBC: “What advice did David Hockney give to you?”
BBC Guest: “Enjoy life and fuck everyone.”
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Jun 12
How bloody good is this bloke! @william_pett
This on dentistry but could be true for almost all of primary care…
What do we want to deliver and are we willing to pay for it? 🤔
"At the heart of the problem is the NHS dental contract says @william_pett from @HealthwatchE
"It's not working for dentists and it's not working for patients."
Spot on.
We have a system that suits government accountants, but fails this profession and the millions we serve.
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Jun 11
Tough stats day in the NHS.
Rightly a lot of focus on new corridor care data - 90 k patients treated in corridors in last month and I'm sure plenty more in settings that patients and staff feel are not adequate....
Corridor care cases hit 90k in May ift.tt/mVpk0UX
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Jun 11
Waits for community services have reached record highs - huge range of things in here (audiology, rehab services, weight management, community pediatrics).
30% increase in waitlists in 3 years, mainly driven by MSK waits...
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Jun 11
Gamble made in 2024/5 was to prioritise electives (and provider finances) in the hope that everything else could be held relatively steady and you'd get on top of the most visible waitlist (referral to treatment). Approach seems to have run out of road...
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Jun 11
Following the huge success of last year's inaugural awards the Smart Thinking Think Tank Awards are BACK for 2026 and officially open for applications!
Key info:
✅Free to apply
✅Open to all UK-based think tanks
✅11 categories up for grabs
All info: bit.ly/4al6UK5
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Jun 10
DHSC reached this point long ago!
Jun 10
I asked Claude to plot the rate of defence reviews. “…crosses zero in 2045, at which point Britain achieves the Defence Review Singularity—a permanent, continuous review in which each document is superseded before publication. MoD becomes a pure review-generating organism.”
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Jun 10
I really fear that the neighborhood health agenda will fall apart if its primary success measure is reducing A&E attendance.
This seems to be baked in to all early contract development that I've seen...
First ‘neighbourhood contract’ links GP income to A&E attendances ift.tt/d8cZYkh
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Jun 10
Many people I talk to (particularly in GP) are excited about n/h health when they see it as a way to deliver care differently, work in closer partnership with local gov, schools, VCSE sector.
Passion fades fast when purpose of n/h health is attendance and admission avoidance.
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Jun 10
Particularly given all the evidence shows focusing on this will do next to nothing to tackle long waits in A&E or reduce cost (fixed costs exist...).
Reducing A&E attendance may be a good thing - I'd rather not sit in an ED if I don't have to - but it's low priority.
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Jun 10
Paging @sib313...
First ‘neighbourhood contract’ links GP income to A&E attendances ift.tt/d8cZYkh
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Sebastian Rees retweeted
Jun 9
If people want larger state, better funded public services, etc., I'd much rather they argue for higher taxes than to indulge in the fantasy that you can just do it by taxing the rich.
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Jun 8
Will be good to see some fleshed out ideas from the centre right on NHS reform (and health more broadly)!
I do think that some of the alarmism about health spend as a % of GDP increasing in the UK is quite insular.
🚨 2 WEEKS TO GO | Limited Spaces | 18 June
- British Healthcare Reform conference
- New research with @NWhite10031973
- Polling on the Health Service with @strategymerlin.
At 11% of GDP and rising, the cost of the NHS can no longer be ignored.
RSVP👉 events@prosperity.com
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Jun 8
strong state role in dictating/shaping healthy behaviours...
In any case, relatively sizable increases in health spend in recent years means that Singapore now largely conforms to the global trend of increased £ as a % of GDP.
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Jun 8
What does this all mean?
If limiting health spend as a % of GDP is the goal, we'll need to ask much bigger questions about health and healthcare than whether the NHS is effectively managed or whether it has the right funding model...
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