David Blane @dnblane.bsky.social · 31/10/2025Dr Joseph Millum reflects on “what are values?” And introduces us to “thick concepts”, which are both evaluative (e.g. good, bad, right, wrong) and descriptive. Given what we know about the inadequacies & limitations of medical research… I would argue that “evidence-based” is also a “thick concept? 010
David Blane @dnblane.bsky.social · 31/10/2025Prof Kevin Orr (research-portal.st-andrews.ac.uk/en/persons/k...) on the “Ghosts in the healthcare machine” - fantastic overview of the “ghosts” of the past, present, and future… the politics of control and accountability, inequality, populism, and the role of the private sector 120
David Blane @dnblane.bsky.social · 31/10/2025Prof Frank Sullivan, giant of academic general practice in Scotland, talks us through a “typical” GP surgery (if such a thing exists!), highlighting Challenges, Choices, and Values inherent in each consultation… - Autonomy, Mastery & Purpose as core drivers of professional practice 120
David Blane @dnblane.bsky.social · 31/10/2025Scotland’s first ever Patient Safety Commissioner, Karen Titchener, now sets out her plans for the role (started last month!) - www.parliament.scot/about/news/n...parliament.scotParliament to nominate Scotlands first Patient Safety Commissioner 100
David Blane @dnblane.bsky.social · 31/10/2025Fantastic scene-setting and call to arms from @mgtmccartney.bsky.social, with numerous examples of (mostly well-intentioned) initiatives that may cause more harm than good 100
David Blane @dnblane.bsky.social · 31/10/2025@mgtmccartney.bsky.social launching the Centre for Evidence and Values in Healthcare @uniofstandrews.bsky.social - I’m expecting mighty oaks to grow from these acorns 🤞 150
Reposted by David Blane School of Health and Wellbeing, University of Glasgow @uofgshw.bsky.social · 24/10/2025On a recent visit to Poland @robinireland.bsky.social recorded a conversation on the impact of sport on public health, and the challenges that the commercialisation and commodification of sport present. 🎧 youtu.be/qGAYdmNW2cI?... @uofgsocsci.bsky.socialyoutu.beThe unhealthy side of sport - conversation with Dr Robin IrelandYouTube video by Gdański Uniwersytet Medyczny 054
Reposted by David Blane UofG Centre for Public Policy @uofgpolicy.bsky.social · 02/10/2025🎧 New season of Spotlight kicks off with a deep dive into Scotland’s health future. With the Chief Medical Officer on prevention, Realistic Medicine & the long-term challenges facing the NHS. Alongside UofG experts @pmeierprof.bsky.social & @dnblane.bsky.social 🔗 Tune in: www.uofgspotlight.com 123
David Blane @dnblane.bsky.social · 01/09/2025Mogens Vestergaard outlines the major health system reforms in Denmark - incl. shifting resources from secondary to primary care. Current % of health service spend in Denmark is 8% (Scotland is approx 6.5%) - aim to increase to 13% by 2035. 000
David Blane @dnblane.bsky.social · 01/09/2025Fantastic presentation by @kathcheckland.bsky.social on recent developments in primary care in England, including widening skill mix (e.g. ARRS) - bjgp.org/content/75/7...bjgp.orgEmployment and deployment of additional staff roles in general practice: a realist evaluation of what works for whom, how, and whyBackground The Additional Roles Reimbursement Scheme (ARRS) was introduced in England in 2019 to alleviate workforce pressures in general practice by funding additional staff such as clinical pharmaci... 100
David Blane @dnblane.bsky.social · 01/09/2025Now Eddie Donaghy giving headline findings from this qualitative work - bjgp.org/content/74/7...bjgp.orgPrimary care transformation in Scotland: a qualitative evaluation of the views of patientsBackground The new Scottish GP contract introduced in April 2018 aims to improve quality of care through expansion of the multidisciplinary team (MDT) to enable GPs to spend more time as expert medica... 100
David Blane @dnblane.bsky.social · 01/09/2025Leigh Johnston from @auditscotland.bsky.social summarising this report - audit.scot/publications...audit.scotGeneral practice: Progress since the 2018 General Medical Services contract | Audit ScotlandA Scottish Government agreement with GPs to improve general practice has failed to deliver on several of its commitments 100
David Blane @dnblane.bsky.social · 01/09/2025Stewart Mercer opens with a whistlestop overview of work on “primary care transformation” pubmed.ncbi.nlm.nih.gov/37620865/pubmed.ncbi.nlm.nih.govUnderstanding primary care transformation and implications for ageing populations and health inequalities: a systematic scoping review of new models of primary health care in OECD countries and China ...Countries identified in this review have used a range of approaches to PCT with marked heterogeneity in methods of evaluation and mixed findings on impacts. Only a minority of studies described the im... 100
David Blane @dnblane.bsky.social · 01/09/2025On my way to Edinburgh for a meeting to discuss recommendations from this report, as well as other recent work on new models of primary care by Stewart Mercer and team. Great to have @kathcheckland.bsky.social, John Ford and Mogens Vestergaard joining us. 131
David Blane @dnblane.bsky.social · 22/08/2025"The future doctor may be less the sole expert and more a kind of relational anchor... open to ideas from patient, family, colleague, or algorithm. We bring discernment, perspective, humanity. We’re invested." @deependgp.bsky.social bjgplife.com/still-in-the...bjgplife.comStill in the room: When AI Knows the answers, what will we bring?The future doctor may be less the sole expert and more a kind of relational anchor—someone grounded in science but unshaken by challenge, open to ideas from patient, family, colleague, or algorithm. 010
Reposted by David Blane efpc.bsky.social @efpc.bsky.social · 22/08/2025🚨 Big news! The EFPC has been granted special consultative status with @UN_ECOSOC 🎉 🔗 Learn more: euprimarycare.org/2025/08/22/e...euprimarycare.orgEFPC Gains Special Consultative Status with UN ECOSOCThe UN Office of Intergovernmental Support and Coordination for Sustainable Development decided to grant special consultative status to the EFPC for the Economic and Social Council (ECOSOC). Consulta... 011
David Blane @dnblane.bsky.social · 04/08/2025www.healthandcare.scot/stories/4235...healthandcare.scotDoctors to shape medical workforce reformsDoctors are being invited to help shape NHS staffing reforms, as the Scottish government commits to two months of engagement as part of its Future Medical Workforce project. Scotland’s resident doctor... 020
David Blane @dnblane.bsky.social · 01/07/2025Latest Deep End International Bulletin (no. 13), expertly curated by Prof Graham Watt, now online - www.gla.ac.uk/media/Media_...gla.ac.uk 000
Reposted by David Blane UofG Centre for Public Policy @uofgpolicy.bsky.social · 02/06/2025How do we 'create health'?💡 Dr @dnblane.bsky.social leads this afternoon's first panel w/ Dr Carey Lunan of @deependgp.bsky.social, @tejeshm.bsky.social of @vhscotland.bsky.social, and Leanne McBride of Chance 2 Change on the role of primary care and voluntary sector in healthy communities 💬 062
Reposted by David Blane UofG Centre for Public Policy @uofgpolicy.bsky.social · 07/05/2025Read Dr @dnblane.bsky.social's Quick Insight on the Programme for Government📝 Dr Blane, @deependgp.bsky.social, looks at the FM's health pledges, focusing on new GP appointment plans and growing concerns around access and investment in general practice. 🔗 Read more: www.gla.ac.uk/research/az/... 113
Reposted by David Blane James Larkin @jameslarkin13.bsky.social · 31/03/2025Proud to have supported this letter to @rthonwesstreeting.bsky.social The UK (& Ireland) need a conflict of interest disclosure system detailing the payments that pharmaceutical & medical device companies make to healthcare professionals, healthcare organisations and patient organisations 132
Reposted by David Blane Martin McKee @martinmckee.bsky.social · 10/04/20259/ The full paper can be read here: www.bmj.com/content/389/...bmj.comDispute over sentencing guidelines is warning for England’s public health communityFaced with a row over guidance to improve consistency on sentencing by the courts, the British government chose a populist narrative. This sends a worrying message to public health professionals promo... 1148
Reposted by David Blane Professor Frances Mair @francesmair.bsky.social · 22/03/2025#HealthCare Bridges — Pathways toward #Trust in Gaza and Beyond www.nejm.org/doi/full/10.... -positive piece in grim times. "..findings suggest that cross-national #health care programs can overcome formal & informal segregation, establish connections, & help build trust between groups in conflict."nejm.orgHealth Care Bridges — Pathways toward Trust in Gaza and Beyond | NEJMEven as hospitals in Gaza were turned into battlefields, some Palestinian–Israeli health care programs bridged the deep divides and continued to build trust between the populations in conflict. 002
David Blane @dnblane.bsky.social · 22/03/2025Austerity kills. “For society’s sake, we need to reverse these cuts, not add more. We need to use the power within our communities – our collective voice – to demand that austerity policies are reversed.” @gerrymccartney1.bsky.social @deependgp.bsky.social www.chex.org.uk/latest/artic...chex.org.ukThe outrage of austerity — CHEXIn this blog, David Walsh and Gerry McCartney discuss the disastrous effects that austerity policies have had on life expectancy - exacerbating health inequalities and causing many people in our most ... 045
Reposted by David Blane Nason Maani @spidermaani.bsky.social · 14/03/2025Special thanks to @dnblane.bsky.social, @dremekadumbili.bsky.social and @maizie333.bsky.social with episodes ranging from Deep End GPs in the south side of Glasgow, to alcohol marketing in Nigeria, to industry-sponsored gambling, alcohol fossil fuel and firearm education materials in schools. 133
Reposted by David Blane Prof Christina Pagel @chrischirp.bsky.social · 03/03/2025This is why @kityates.bsky.social post is so relevant today kityates.substack.com/p/science-is... and why my dystopian piece is perfectly plausible. christinapagel.substack.com/p/a-dystopia...christinapagel.substack.comA dystopian but possible future: the Fall of British Science 2028-2033In which I think about how a UK populist government could undermine science as a way of prompting discussions about how to protect it. 1018080
Reposted by David Blane Gem Liz K. @retrogem.bsky.social · 04/03/2025People help people. A hero has passed. 27422
Reposted by David Blane ESM2025 @esm2025.bsky.social · 04/03/2025🧐 Curious about the #ClimateResearchNet? Our interactive network map is here! 🔍 See which research themes connect our different projects! 🌐 Start exploring now: bit.ly/climaterese... Thanks to @eerie-project.bsky.social for this cool map! 295
David Blane @dnblane.bsky.social · 26/02/2025Sharing this short (10mins) survey by colleagues working to improve care for people with liver disease. 📢 Clinicians (doctors and nurses) in primary and secondary care, in the UK. 🏅Prize draw to win one of five £75 High Street shopping vouchers. app.onlinesurveys.jisc.ac.uk/s/dundee/adi...app.onlinesurveys.jisc.ac.uk 012
Reposted by David Blane Ally @broonsky.bsky.social · 25/02/2025My partner is a community link worker, they do absolutely brilliant work for people 👍🏻 011
David Blane @dnblane.bsky.social · 25/02/2025Something positive to share... short video accounts from GPs, patients, and community links workers... vhscotland.org.uk/cabinet-secr... @deependgp.bsky.socialvhscotland.org.ukCabinet Secretary welcomes launch of new films celebrating Community Link Workers in ScotlandBlueskyE-mailLinkedInTwitterE-mailFacebookLinkedInRSSTwitter 022
Reposted by David Blane Kimberley Somerside @kimsomerside.bsky.social · 25/02/2025Exciting times, calling all third sector, policy, public affairs and academic bods interested in child poverty 👇 003
David Blane @dnblane.bsky.social · 23/01/2025Second keynote at #NADEGS2025 is Prof Lesley Colvin on chronic pain. Discussing 2 projects: 1) C-PICTURE study – Chronic Pain identification through patient records www.dundee.ac.uk/projects/c-p... (algorithm to identify chronic pain). 2) CAPE – Consortium Against Pain inEquality dundee-cape.ac.ukdundee.ac.uk 030
David Blane @dnblane.bsky.social · 23/01/2025My colleague Dr Susan Browne now presenting "Navigating the Maze: Long COVID Care in Scotland" - qualitative research led by Prof Kate O'Donnell, using the candidacy framework to articulate the many barriers to care for people living with Long COVID... pubmed.ncbi.nlm.nih.gov/16872487/pubmed.ncbi.nlm.nih.govConducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups - PubMedBy innovating with existing methods for interpretive synthesis, it was possible to produce not only new methods for conducting what we have termed critical interpretive synthesis, but also a new theor... 000
David Blane @dnblane.bsky.social · 23/01/2025Dr Zoe McElhinney, University of St Andrews, explores "GPs’ and GP Trainees’ Perceptions of Their Preparedness to Meet Women’s Health Needs" - much scope for improvement across undergraduate, postgraduate, and lifelong learning www.gov.scot/publications...gov.scot 100
David Blane @dnblane.bsky.social · 23/01/2025Exemplars of innovative medical education in Scotland at #NADEGS2025 - Community engagement in ScotGEM - Outcomes of Post-CCT GP Fellowships - Communications Masterclass - Graphic Medicine (e.g. figshare.arts.ac.uk/articles/pre...)figshare.arts.ac.ukLottie Corr - A Picture of Health: Using Graphic Medicine to widen student perspectives at medical school03/07/2020 10:00 Room 1 #appimrEmpathy is a crucial clinician skill correlated with patient satisfaction, compliance and outcomes as well as doctors’ wellbeing. Rising empathy fatigue has been found a... 110
David Blane @dnblane.bsky.social · 23/01/2025Highly recommend Gwen Adshead’s Reith Lectures from the end of last year on “Four Questions about Violence” “Violence is contextual and relational” - these lectures build empathy and understanding of complex behaviours www.bbc.co.uk/sounds/play/...bbc.co.ukThe Reith Lectures - Gwen Adshead - Four Questions about Violence - Is Violence Normal? - BBC SoundsForensic psychiatrist Dr Gwen Adshead asks if violence is normal. 000
David Blane @dnblane.bsky.social · 23/01/2025Two key papers from @euanlawson.social (BJGP editor) keynote talk at #NADGES2025: 1) Rein in the four horsemen of irreproducibility - www.nature.com/articles/d41... 2) Is something rotten in the state of Denmark? journals.plos.org/plosone/arti...nature.comRein in the four horsemen of irreproducibilityDorothy Bishop describes how threats to reproducibility, recognized but unaddressed for decades, might finally be brought under control. 260
Reposted by David Blane Alice Roberts @profaliceroberts.bsky.social · 23/01/2025What an incredible, brave woman. 671932195
Reposted by David Blane Margaret McCartney @mgtmccartney.bsky.social · 14/01/2025it's almost as though apps for fertility/contraception should be treated like a medical intervention capable of side effects/ineffectiveness/harm and women should have really high quality information on that srh.bmj.com/content/earl...srh.bmj.comSelf-reported contraceptive method use at conception among patients presenting for abortion in England: a cross-sectional analysis comparing 2018 and 2023Background Recent media attention has been given to an apparent shift away from hormonal methods of contraception. While an increase in fertility awareness-based or ‘natural’ family planning methods i... 121
David Blane @dnblane.bsky.social · 15/01/2025Great start yesterday to the “Future of Evaluation in Health & Social Care” conference at Northumbria University. - fantastic plenary talks by Kathryn Skivington, Laurence Moore, Ray Pawson and Dave Byrne. Excited for Day 2… www.northumbria.ac.uk/about-us/new...northumbria.ac.ukThe Future of Evaluation in Health and Social CareWe are delighted to announce our upcoming Symposium on the Future of Evaluation in Health and Social Care, hosted by Northumbia University. 020
Reposted by David Blane Helen Reid @helenreid.bsky.social · 05/01/2025bjgp.org/content/75/7... For a lover of both words and General Practice (still holding hope for a transformed future) this was a seriously good read. Thanks @euanlawson.social - and @oohgpwales.bsky.social for the fabulous researchbjgp.orgThe enshittification of general practiceIt was Cory Doctorow, the author, who coined the term ‘enshittification’ when he used it to describe the evolution and, critically, the deterioration of tech platforms. In 2023 the American Dialect So... 155
David Blane @dnblane.bsky.social · 04/01/2025“By 2048, NHS Scotland’s premises have become models of environmental sustainability and community integration.” A vision for the future of the NHS in Scotland, by Deep End GP Dr Peter Cawston www.reformscotland.com/nhs2048/the-...reformscotland.comThe Future of the NHS in Scotland: A Vision for 2048 - Peter Cawston - Reform ScotlandAs we approach the centenary of the National Health Service (NHS) in Scotland in 2048, it is crucial to envision its transformation into a system that 010
Reposted by David Blane David Blane @dnblane.bsky.social · 26/11/2024📢 PhD project opportunity Please share this exciting interdisciplinary fellowship opportunity - aiming to advance understanding of "proportionate continuity" in GP as a mechanism for mitigating health inequalities. 🤝 Further info on the project: www.gla.ac.uk/colleges/mvl...lnkd.inLinkedInThis link will take you to a page that’s not on LinkedIn 277
Reposted by David Blane Sarah Murphy @13sarahmurphy.bsky.social · 23/12/2024Ok so Trump won again, Musk is buying up democracy, media is overdosing on Farage and Tory sour grapes… BUT We kicked the Tories out, the right is split, Brexit hovers over the shredder, Trump and Musk will trip up over their monstrous egos and we moved to Bluesky. There’s always hope. Cheers all🎄🥂 991725336
Reposted by David Blane Rebecca Solnit @rebeccasolnit.bsky.social · 05/12/2024"One of my teachers at Columbia was Joseph Brodsky...and he said 'look,' he said, 'you Americans, you are so naïve. You think evil is going to come into your houses wearing big black boots. It doesn’t come like that. Look at the language. It begins in the language.'" 7356041621
David Blane @dnblane.bsky.social · 04/12/2024New book by David Walsh and Gerry McCartney @uofgshw.bsky.social helps us understand the drivers of declining UK life expectancy… TL;DR = Austerity policies 1103
Reposted by David Blane Sarah Murphy @13sarahmurphy.bsky.social · 01/12/2024Having bought the US election, Musk now wants to buy ours. This ketamine-infused menace thinks global domination is his to buy. And Farage is grasping for his money.These repulsive men weaponise prejudice for power. They feed off ignorance, resentment and inadequacy. If they succeed, we have failed. 771869733
David Blane @dnblane.bsky.social · 04/12/2024Thanks Lisa. I would argue that similar messages apply to any condition/disease-specific research area 🤔 #uksf24 #MedSky #primarycare 041
Reposted by David Blane Krutika Kuppalli, MD FIDSA @krutikakuppalli.bsky.social · 04/12/2024Important update from the #DRC MOH: A concerning situation in Kwango province, with 376 cases and 79 deaths reported, mostly in children. This highlights the need for robust health systems capable of detecting and investigating outbreaks rapidly. 37842