Reposted by Dave West @ HSJSam Freedman @samfr.bsky.social · 08/09/2026One reason England does so well is our second generation immigrants outperform their peers which is not true in most OECD countries. We are also very good at integration. And it's v sad that this is never acknowledge in debates on immigration. 602405851
Dave West @ HSJ @davewwest.bsky.social · 08/09/2026Full picture of the widespread data breaches being commited by NHS staff - excl investigation from HSJ @zoetidman.bsky.social with Sky News www.hsj.co.uk/workforce/ex...hsj.co.ukExclusive: Hundreds sacked for snooping on patient recordsMore than 200 NHS staff have been sacked and around 2,000 others sanctioned for inappropriately viewing patient records over the past five years, HSJ can reveal. 025
Reposted by Dave West @ HSJADASS @adass.bsky.social · 18/08/2026✍️Soup or salad? It’s time to rethink health and care integration. Former ADASS President, @jessmcp.bsky.social, argues that we need to turn the question around: Read the full blog for her insights: www.adass.org.uk/soup-or-salad-its-time-to-rethink-health-and-care-integration/adass.org.ukSoup or salad? It’s time to rethink health and care integration - ADASSFor decades, the debate about integration has focused on structures, systems and services. Former ADASS President, Jess McGregor, argues that we need to turn the question around – starting with the li... 033
Dave West @ HSJ @davewwest.bsky.social · 29/07/2026NEW On funding, Andy Burnham says it is possible to do more within current budgets - "I mentioned people coming into hospital and long stays" Says the NHS loses "several billions pounds a year" to unnecessary / extended hospital stays 220
Dave West @ HSJ @davewwest.bsky.social · 29/07/2026Burnham says principles from Casey include 'home care wherever possible' Questions of what it covers and what is funded are for Casey's review 120
Dave West @ HSJ @davewwest.bsky.social · 29/07/2026Burnham - We will have independent Casey review a year from now (brought forward from 2028) Care has to be very integrated, preventative and person-centreree 011
Dave West @ HSJ @davewwest.bsky.social · 29/07/2026Burnham: Social care doesn't live in its own silo - it's intrinsically linked to the NHS There is no way we can restore the NHS to the standards we'd want to see without reforming social care 071
Dave West @ HSJ @davewwest.bsky.social · 29/07/2026Andy B: it's a major dereliction of duty that parliament has not cracked care Says gaps in care often lead to people calling 999 - once that's done it's very difficult to prevent admission of frail person, they are sucked in 010
Dave West @ HSJ @davewwest.bsky.social · 29/07/2026Louise Casey: some of our asks to improve care will be modest and some will be less modest Says "we can do difficult" 000
Dave West @ HSJ @davewwest.bsky.social · 29/07/2026Yvette Cooper speaking in north London before Andy Burnham says "We cannot keep walking around this problem" - argues it was 50 years ago Barbara Castle first sought to integrate health and social care 000
Reposted by Dave West @ HSJHelen Buckingham @hbuckingham.bsky.social · 29/07/2026Is it too much to hope that today's speech presents social care as a positive thing in itself? Not just an adjunct to healthcare, not just for older people, but a service which can & should enable 1000s of people with physical disabilities, mental health issues, learning disabilities to thrive? 1/2 1145
Reposted by Dave West @ HSJDave West @ HSJ @davewwest.bsky.social · 28/07/2026Trailer tonight for Andy Burnham social care speech tomorrow No10 again emphasises the link with NHS pressures - the Notes claim "cuts to social care funding between 2010 and 2018 led to an estimated additional half a million A&E attendances a year for people aged 65 and over". 223
Reposted by Dave West @ HSJCharles Tallack @charlestallack.bsky.social · 22/07/2026In his first speech as defence secretary, Wes Streeting reiterates his record at health in "achieving the biggest reduction in waiting in 17 years". Is that record still looking as good? 123
Dave West @ HSJ @davewwest.bsky.social · 28/07/2026Trailer tonight for Andy Burnham social care speech tomorrow No10 again emphasises the link with NHS pressures - the Notes claim "cuts to social care funding between 2010 and 2018 led to an estimated additional half a million A&E attendances a year for people aged 65 and over". 223
Dave West @ HSJ @davewwest.bsky.social · 16/07/2026A positive + not insubstantial step on care reform Interesting also to see the official PR include range of comments that also point out the change relies on other big decisions - funding to pay for pay increases, and something to enforce them t.co/mp7vm4xwWW 101
Reposted by Dave West @ HSJKate Ardern@KateAlvanley @ardernkate.bsky.social · 09/07/2026A must read from @alicesemark.bsky.social @stkaye.bsky.social @re-state.bsky.social on supporting the adult social care workforce … great examples including Wigan & recommendations 👇link to report in thread. @adass.bsky.social @nuffieldtrust.org.uk @blimeysimon.bsky.social @davewwest.bsky.social 122
Reposted by Dave West @ HSJStephen Bush @stephenkb.bsky.social · 06/07/2026My read of Burnham's speech on devolution is, though, that Burnham does get the agglomeration stuff, and the political issue will be the 'what about places that either don't *want* to be run by their cities?' or thornier still, as @jenwilliamsft.bsky.social mentioned here, that don't have one:ft.comThe Manchester project encapsulating Burnham’s growth visionThe Piccadilly underground station under negotiations would show the vote-winning fruits of fiscal devolution 2261
Reposted by Dave West @ HSJJess Morley @jessrmorley.bsky.social · 06/07/2026I (ironically) fell over on the way to the physiotherapist today and grazed my face, knees, and hands. But NEVERMIND, I have a new podcast episode out with the HSJ www.hsj.co.uk/hsj-download... talking ambient scribes, responsibility, and the single patient record. Give it a listen!hsj.co.ukThe HSJ Download Podcast: Who is responsible when AI goes wrong?Ben Clover, Ella Devereux and Joe Talora are joined by Dr Jessica Morley to discuss how best to regulate AI in healthcare. 142
Reposted by Dave West @ HSJHealthwatch @healthwatch.bsky.social · 07/07/2026Carers, people with care needs and carers’ organisations are encouraged to have their say on how to improve Carer’s Allowance in major review of benefit that opens today www.gov.uk/government/n...gov.ukViews sought to transform benefit paid to carersOpening today (Tuesday 7 July 2026) the six-week call for evidence will gather views on: modernising the earnings limit to reduce the impact of the current cliff edge, improving predictability for car... 001
Reposted by Dave West @ HSJJack Serle @jackserle.bsky.social · 18/06/2026Nice to have some unbridled good news, in this day and age. Girls who got the HPV vaccine at 12 and 13 have pretty much zero chance of dying from cervical cancer before 30. www.bbc.co.uk/news/article...bbc.co.ukHPV vaccine means young women now have 'close to zero' risk of cervical cancer deathA new study finds that hundreds of lives have been saved since school-age girls were offered the HPV jab in 2008. 001
Reposted by Dave West @ HSJPaul Mainwood @paulmainwood.bsky.social · 17/06/2026Still finding this worrying (and unreported). It's summer, and these numbers aren't obviously falling off. Recent numbers for Enfield, Haringey, Islington + Hertfordshire seem to suggest a North London-centred outbreak is still expanding. 052
Reposted by Dave West @ HSJMedical Journalists' Association @mja-uk.bsky.social · 15/05/2026It's Friday afternoon. What better time to sort out your entry to the #MJAawards @phoebeivy.bsky.social @davewwest.bsky.social @madlendavies.bsky.social @abirimmer.bsky.social @andrewgregory.com @cbwickware.bsky.social Enter here before June 1: mjauk.org/enter-the-20...mjauk.orgEnter the 2026 MJA Awards - Medical Journalists’ AssociationDates Entries open: 11 May 2026 Entries close: 10 June 2026 Finalists announced: August 2026 Awards ceremony:22 September 2026 Award Categories 2026 Case Study The Dr David Delvin Award for sex and se... 033
Dave West @ HSJ @davewwest.bsky.social · 14/05/2026The Streeting legacy - Health Bill bang on 200 pages just dropped on Parliament publications.parliament.uk/pa/bills/cbi...publications.parliament.uk 120
Reposted by Dave West @ HSJalina @ramshackle78.bsky.social · 13/05/2026Let's remain optimistic for the Single Patient Record, no matter how low its chances might seem 032
Dave West @ HSJ @davewwest.bsky.social · 13/05/2026Some irony in Healthwatch England's findings being cited in the case for the government's proposed NHS Modernisation Bill - the bill that will also scrap HWE 173
Reposted by Dave West @ HSJlawrencedunhill.bsky.social @lawrencedunhill.bsky.social · 06/05/2026Do poor towns really have the worst hospitals? Analysis here of new data that helps map NHS provider quality against their patient deprivation profile. lawrencedunhill.substack.com/p/do-poor-to...lawrencedunhill.substack.comDo poor towns really have the worst hospitals?New data helps map the quality of NHS hospitals against the deprivation profile of their patients. 1128
Reposted by Dave West @ HSJStuart Hoddinott @stuarthoddinott.bsky.social · 16/03/2026It's not just DHSC where morale is plummeting; the HSJ reports that morale declined in every NHS integrated care board that answered the NHS staff survey in 2025 Worth remembering that these are the people who are supposed to deliver Streeting's 3 shifts www.hsj.co.uk/policy-and-r... 11414
Reposted by Dave West @ HSJAlf Collins @alfcollins.bsky.social · 25/03/2026Shades of Herbert Morrison. 101
Dave West @ HSJ @davewwest.bsky.social · 25/03/2026New ICB chairs in South Yorkshire and Greater Manchester will for the first time report to their elected Mayors (as health commissioners), as well as to NHS England/SofS on their NHS responsibilities. Could make for an interesting dynamic 132
Dave West @ HSJ @davewwest.bsky.social · 17/03/2026Co-chairs named for DHSC advisory group on frailty & dementia MSF , including @jkdhesi.bsky.social & neighbourhood health guidance is expected to (finally) land this week I understand The centre has been slow on integrated care policy lately, but they're some small steps forward... 132
Dave West @ HSJ @davewwest.bsky.social · 11/03/2026DHSC declining to confirm a Phase 2 for the neighbourhood implementation programme In reply to a Parliamentary question from @helenmorganlibdem.bsky.social 000
Dave West @ HSJ @davewwest.bsky.social · 11/03/2026Don’t blame the government – NHS ‘conservatism’ is holding back change stark piece on HSJ today from @joemcmanners.bsky.social - about the stalling of 'neighbourhood health' & associated agenda to shift power and resource to the community www.hsj.co.uk/service-rede...hsj.co.ukDon’t blame the government – NHS ‘conservatism’ is holding back changeNeighbourhood health has momentum and support, but without structural reform to funding and authority, the NHS risks slow implementation 123
Reposted by Dave West @ HSJDavid Oliver @mancunianmedic.bsky.social · 05/03/2026#ntsummit Baroness Casey mentioning the ageist way that Dementia/Frailty gets labelled in effect as social problems not clinical diagnoses/medical problems and so get marginalised in funding/service priorities 0148
Dave West @ HSJ @davewwest.bsky.social · 13/02/2026Enjoying this recipe but I live in south London www.ft.com/content/c506... Anyone know if south London has a favourite carbonara ?ft.comRecipe: north London’s new favourite carbonaraLupa’s very yellow riff on a classic comes alive in the details 040
Reposted by Dave West @ HSJDavid Buck @davidjbuck.bsky.social · 11/02/2026Yes, flatlining www.kingsfund.org.uk/insight-and-...kingsfund.org.ukThe complex story of public health and prevention spending in local government | The King's FundWhat do longer term trends in local government spending tell us about the government’s commitment to the prevention shift? 001
Reposted by Dave West @ HSJDave West @ HSJ @davewwest.bsky.social · 10/02/2026Details of public health grants to councils were published yesterday (we're shifting treatment to prevention, remember) But they appear to confirm my story from December that the grant will be held flat in real terms / eroded over the next three years. (lnkd.in/eXQx3Jbb)lnkd.inLinkedInThis link will take you to a page that’s not on LinkedIn 245
Dave West @ HSJ @davewwest.bsky.social · 10/02/2026Details of public health grants to councils were published yesterday (we're shifting treatment to prevention, remember) But they appear to confirm my story from December that the grant will be held flat in real terms / eroded over the next three years. (lnkd.in/eXQx3Jbb)lnkd.inLinkedInThis link will take you to a page that’s not on LinkedIn 245
Reposted by Dave West @ HSJCraig @craig.nikolic.co.uk · 06/02/2026This just popped up on my phone from LinkedIn. Not that I'm in the slightest qualified to go near the job but being a Trust or ICB CEO right now just seems like a bitterly awful job to want to do. I wouldn't do this, or any other Trust or ICB CEO job, if you added a zero to the end of the salary. 111
Reposted by Dave West @ HSJJack Blackburn @hackblackburn.bsky.social · 03/02/2026Trying to get AI to improve my productivity sure is eating into my productivity 142
Reposted by Dave West @ HSJProf Jim McManus, OCDS, D.Sc,FFPH,FBPsS, @jimmcmanusph.bsky.social · 22/01/2026New data from #PublicHealth Wales shows early life really shapes long-term health—15% of children born in 2022 were already overweight by age 2. Feeding practices and early environments make a huge difference. If we support families better, we build a healthier Wales. 🔗 phw.nhs.wales/news/new-dat...phw.nhs.walesNew data analysis highlights opportunities to prevent childhood obesity in Wales 132
Reposted by Dave West @ HSJEmily Townsend @emilyltownsend.bsky.social · 20/01/2026Excl: NHSE “urgently” reviewing home birth services Comes as @hsj.co.uk investigation reveals widespread fragility and safety risks — including concerns highlighted by multiple coroners Warning follows deaths of Jennifer & Agnes Cahill w/@alijanemoore.bsky.social www.hsj.co.uk/patient-safe...hsj.co.ukRevealed: Urgent review ordered after deaths in fragile maternity servicesNHS England has ordered trusts to "urgently" review their home birth services, it has emerged - as an HSJ investigation reveals widespread fragility and safety risks. 001
Reposted by Dave West @ HSJStuart McDonald @actuarybyday.bsky.social · 15/01/2026Hospital admissions with flu are back at "low" levels in England. www.gov.uk/government/s... 0344
Dave West @ HSJ @davewwest.bsky.social · 15/01/2026CEO forced out by chair wins £1.4m settlement from @zoetidman.bsky.social www.hsj.co.uk/countess-of-...hsj.co.ukExclusive: CEO forced out by chair wins £1.4m settlementA trust has agreed a £1.4m settlement with its former chief executive, who was forced out of her role in a coordinated campaign by its then chair and other directors, HSJ has learned. 011
Dave West @ HSJ @davewwest.bsky.social · 15/01/2026Exclusive: CEO forced out by chair wins £1.4m settlement www.hsj.co.uk/countess-of-...hsj.co.ukExclusive: CEO forced out by chair wins £1.4m settlementA trust has agreed a £1.4m settlement with its former chief executive, who was forced out of her role in a coordinated campaign by its then chair and other directors, HSJ has learned. 000
Reposted by Dave West @ HSJStuart Hoddinott @stuarthoddinott.bsky.social · 15/01/2026DHSC published its impact statement for the 10 Year Health Plan this week (yes, that is 6 months after it published the plan) It's more measured and clear-eyed than the original document and quite a contrast to some of the effusive optimism in the plan Some of the things that caught my eye 👇 22621
Dave West @ HSJ @davewwest.bsky.social · 15/01/2026Indications that the flu in 2025, though infections started spreading early, was substantially less deadly than the last two years. That 012
Reposted by Dave West @ HSJStuart McDonald @actuarybyday.bsky.social · 15/01/2026For all of those who - think we are still in the middle of a raging pandemic 😷 - believe conspiracies about the covid vaccines 🤡 I have some more data for you to ignore or explain away 2184
Reposted by Dave West @ HSJAliJaneMoore @alijanemoore.bsky.social · 13/01/2026This will hack off some boards who have been desperately trying to reduce costs while believing it was what they were being asked to prioritise. 033
Reposted by Dave West @ HSJAndrew Fenton @fentonaw.bsky.social · 13/01/2026Wes Streeting at the @instituteforgovernment.org.uk puts great emphasis on NHS modernisation (against opposition), patient power, technology, and prevention. "The job of listening to patients can't be farmed out to an arms length body" ie HW @davewwest.bsky.social @stuarthoddinott.bsky.social 331